Organization
SUSAN C WHITAKER OD PA
Active
Other names
Susan C Bailey
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN C BAILEY OD (OPTOMETIST)
(910) 947-7740
Entity
Organization
Contact information
Practice address
101 MONROE PL, CARTHAGE, NC 28327-9784
(910) 947-7740
(910) 947-7742
Mailing address
PO BOX 875, CARTHAGE, NC 28327-0875
(910) 947-7740
(910) 947-7742
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
NC1253
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
890252X
—
NC
Enumeration date
06/06/2007
Last updated
04/18/2008
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