Individual
RONNIE JAY ROWLAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
2531 F LIME STATION RD, CREEDMOOR, NC 27522
(919) 528-3819
Mailing address
PO BOX 505, 115 GILLIAM ST, OXFORD, NC 27565
(919) 693-4611
(919) 693-4612
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1231
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
09080
BCBS
NC
05
—
8909080
—
NC
Enumeration date
12/04/2006
Last updated
11/20/2009
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