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Individual

DR. DAVID RONALD MCDANIEL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
O.D.

Contact information

Practice address
510 W KING ST, KINGS MOUNTAIN, NC 28086-3310
(704) 739-1394
(704) 739-2332
Mailing address
510 W KING ST, PO BOX 1127, KINGS MOUNTAIN, NC 28086-3310
(704) 739-1394
(704) 739-2332

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
0991
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
8909569
NC
Enumeration date
05/03/2006
Last updated
01/27/2010
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