Virgil Hyman Mewborn III O.D,

NPI 1144203522 - Optometrist - 152W00000X

NPI Details
NPI 1144203522
Gender Male
Enumeration Date 11/21/2005
Last Updated 09/29/2011
Entity Type Individual
Active Over 11 years ago
Practice Location
5053 EXECUTIVE DR
SUITE A
MOREHEAD CITY NC, 28557-2503, US
Phone (252) 247-4661
Fax (252) 247-3776
Business Location
404 WINDWARD LN
MOREHEAD CITY NC, 28557-2675, US
Phone (252) 247-4661
Fax (252) 247-3776
Toxanomy
Taxonomy Code 152W00000X
License State North Carolina
License Number 0822
Remove 1144203522 NPI Number
 

According to our database, Dr. Virgil Hyman Mewborn III O.D, NPI is 1144203522, taxonomy code is 152W00000X and license number is 0822, license state is located at North Carolina. Virgil Hyman Mewborn III O.D, physically located at 5053 Executive Dr, Morehead City NC, 28557-2503. NPI Number Virgil Hyman Mewborn III O.D, has the Individual type.

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1144203522 NPI number is provided on an as is basis without warranty of any kind. 1144203522 is maintained by the National Plan & Provider Enumeration System. The contents of Virgil Hyman Mewborn III O.D, are for informational purposes only.