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Individual

DR. RICHARD E FALLS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
1729 DAVIE AVE, STATESVILLE, NC 28677-3521
(704) 873-0524
(704) 873-0549
Mailing address
1950 OLD GALLOWS RD, 520, VIENNA, VA 22182-3990
(703) 847-8899
(703) 991-0514

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
820
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
8909269
NC
Enumeration date
10/25/2006
Last updated
10/30/2014
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