Individual
SUSAN WALSH HENDRIX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
216 NORTHSTONE PL, FAYETTEVILLE, NC 28303-5494
(910) 826-0100
Mailing address
4303 FAYETTEVILLE RD, RAEFORD, NC 28376-8052
(910) 875-6200
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1439
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0937B
BCBS OF NC
NC
05
—
890937B
—
NC
Enumeration date
05/04/2006
Last updated
08/06/2010
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