Individual
HAROLD L JENNINGS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
1203 NORTHUP ST, REIDSVILLE, NC 27320-5511
(336) 342-3159
(336) 349-2277
Mailing address
PO BOX 367, REIDSVILLE, NC 27323-0367
(336) 342-3159
(336) 349-2277
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
0797
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8909452
—
NC
Enumeration date
05/18/2006
Last updated
06/05/2008
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