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COURTNEY DANIELLE WALTERS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OD

Contact information

Practice address
818 PINE GROVE DR, WILMINGTON, NC 28409-5600
(910) 777-5971
Mailing address
1817 SIR TYLER DR APT 401, WILMINGTON, NC 28405-8549
(910) 723-6224

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2716
NC
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
01/22/2022
Last updated
09/16/2022
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