Individual
AMANDA DISHMON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1585 LIBERTY DR STE 1, THOMASVILLE, NC 27360-6356
(336) 474-2275
Mailing address
7885 US 29 BUS, REIDSVILLE, NC 27320-8920
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
2311
NC
Other
Enumeration date
01/23/2024
Last updated
01/23/2024
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