Mark Lee Hathaway OPTICIAN

NPI 1659577021 - Technician/Technologist - 156FX1800X

NPI Details
NPI 1659577021
Gender Male
Enumeration Date 06/22/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
1800 SKIBO RD
STE 148
FAYETTEVILLE NC, 28303, US
Phone (910) 487-1863
Fax
Business Location
1800 SKIBO RD
STE 148
FAYETTEVILLE NC, 28303, US
Phone (910) 487-1863
Fax (910) 487-5018
Toxanomy
Taxonomy Code 156FX1800X
License State North Carolina
License Number 335
Remove 1659577021 NPI Number
 

According to our database, Mr. Mark Lee Hathaway OPTICIAN NPI is 1659577021, taxonomy code is 156FX1800X and license number is 335, license state is located at North Carolina. Mark Lee Hathaway OPTICIAN physically located at 1800 Skibo Rd, Fayetteville NC, 28303. NPI Number Mark Lee Hathaway OPTICIAN has the Individual type.

Sponsored links

1659577021 NPI number is provided on an as is basis without warranty of any kind. 1659577021 is maintained by the National Plan & Provider Enumeration System. The contents of Mark Lee Hathaway OPTICIAN are for informational purposes only.