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Individual

RICHARD VANCE EDNEY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
OD

Contact information

Practice address
69 SHUFORD RD, COLUMBUS, NC 28722-7406
(828) 894-3930
Mailing address
69 SHUFORD RD, COLUMBUS, NC 28722-7406
(828) 894-3930

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1256
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0917Q
BCBS OF NC
NC
01
180040941
PALMETTO GBA
NC
05
890925A
NC
Enumeration date
01/04/2006
Last updated
06/07/2010
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