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Individual

DR. WILLIAM E DOLAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
O.D.

Contact information

Practice address
411A PISGAH CHURCH RD, GREENSBORO, NC 27455-2590
(336) 790-3502
Mailing address
1950 OLD GALLOWS RD STE 520, VIENNA, VA 22182-3970

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
0877
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0196470001
PGBA REGION C
NC
01
22-00008
UNITED HEALTHCARE OF NC
NC
05
8909236
NC
Enumeration date
07/20/2005
Last updated
10/29/2021
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