Terry W Ellington O.D.

NPI 1093719080 - Optometrist - 152W00000X

NPI Details
NPI 1093719080
Gender Male
Enumeration Date 06/08/2005
Last Updated 09/17/2014
Entity Type Individual
Active Over 11 years ago
Practice Location
1027 S MAIN ST
KERNERSVILLE NC, 27284-8186, US
Phone (336) 996-2020
Fax (336) 996-8860
Business Location
1027 S MAIN ST
KERNERSVILLE NC, 27284-8186, US
Phone (336) 996-2020
Fax (336) 996-8860
Toxanomy
Taxonomy Code 152W00000X
License State North Carolina
License Number 1902
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According to our database, Dr. Terry W Ellington O.D. NPI is 1093719080, taxonomy code is 152W00000X and license number is 1902, license state is located at North Carolina. Terry W Ellington O.D. physically located at 1027 S Main St, Kernersville NC, 27284-8186. NPI Number Terry W Ellington O.D. has the Individual type.

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1093719080 NPI number is provided on an as is basis without warranty of any kind. 1093719080 is maintained by the National Plan & Provider Enumeration System. The contents of Terry W Ellington O.D. are for informational purposes only.