Individual
DR. TINA M SIEGEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
775 W CORBETT AVE STE 1, SWANSBORO, NC 28584-8453
(910) 326-3050
(910) 326-7088
Mailing address
2325 SUNSET AVE, ROCKY MOUNT, NC 27804-2529
(252) 451-5324
(252) 451-5330
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1374
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
890989H
—
NC
Enumeration date
05/03/2006
Last updated
03/09/2017
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