Organization
DAVID LAUREN FITZGERALD OD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID L FITZGERALD OD (OWNER)
(252) 756-4204
Entity
Organization
Contact information
Practice address
105 E GRANVILLE ST, WINDSOR, NC 27983-6753
(252) 974-3381
(252) 794-3371
Mailing address
105 E GRANVILLE ST, WINDSOR, NC 27983-6753
(252) 974-3381
(252) 794-3371
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Enumeration date
05/14/2014
Last updated
10/04/2016
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