Individual
DR. WALTER LOVELL BOGART III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1726 METROMEDICAL DR, FAYETTEVILLE, NC 28304-3861
(910) 484-2284
Mailing address
603 BIMINI TWIST CIR STE C, LEXINGTON, SC 29072-6725
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
9500839
NC
Other
Enumeration date
12/20/2005
Last updated
09/09/2024
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