Organization
FRED KING JR OD, P.L.L.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FRED KING JR. OD (MEMBER/ORGANIZER)
(704) 241-0326
Entity
Organization
Contact information
Practice address
152 BLACKBERRY CREEK LN, MOORESVILLE, NC 28115-3927
(704) 241-0326
Mailing address
152 BLACKBERRY CREEK LN, MOORESVILLE, NC 28115-3927
(704) 241-0326
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Enumeration date
06/29/2024
Last updated
06/29/2024
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