Individual
DR. PAUL WALTER NIENABER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
300 BETHANIA RURAL HALL RD, RURAL HALL, NC 27045-9281
(336) 969-5514
(336) 969-5515
Mailing address
300 BETHANIA RURAL HALL RD, PO BOX 429, RURAL HALL, NC 27045-9281
(336) 969-5514
(336) 969-5515
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1771
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
89093GY
—
NC
Enumeration date
07/04/2006
Last updated
11/17/2008
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