Organization
CAROLINA EYE DOCTORS OD PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHANTEL NICOLE GARCIA TARBETT OD (OPTOMETRIST)
(704) 322-3600
Entity
Organization
Contact information
Practice address
4350 MAIN ST STE 107, HARRISBURG, NC 28075-7439
(305) 282-0561
Mailing address
4350 MAIN ST STE 107, HARRISBURG, NC 28075-7439
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
2409
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2409
NC LICENSE
NC
Enumeration date
10/05/2017
Last updated
01/03/2018
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