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Individual

P. NEIL WARD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
OD

Contact information

Practice address
300 S MIDDLETON ST, ROBBINS, NC 27325-8407
(910) 948-3711
(910) 948-4458
Mailing address
PO BOX 909, ROBBINS, NC 27325-0909
(910) 948-3711
(910) 948-4458

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1377
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
09734
BLUE CROSS BLUE SHIELD
NC
05
8909734
NC
Enumeration date
03/28/2007
Last updated
01/26/2012
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