Nancy Coppic Clark Od

NPI 1447218524 - Optometrist - 152W00000X

NPI Details
NPI 1447218524
Enumeration Date 05/01/2006
Last Updated 10/16/2008
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name NANCY COPPIC NANCY
Position PRESIDENT
Phone (434) 793-6912
Fax (434) 799-8641
Practice Location
123 DEER RUN RD
DANVILLE VA, 24540-2863, US
Phone (434) 793-6912
Fax (434) 799-8641
Business Location
123 DEER RUN RD
DANVILLE VA, 24540-2863, US
Phone (434) 793-6912
Fax (434) 799-8641
Toxanomy
Taxonomy Code 152W00000X
License State Virginia
License Number 0618000028
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According to our database, Nancy Coppic Clark Od NPI is 1447218524, taxonomy code is 152W00000X and license number is 0618000028, license state is located at Virginia. Nancy Coppic Clark Od physically located at 123 Deer Run Rd, Danville VA, 24540-2863. NPI Number 1033115704 has the healthcare provider type.

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1447218524 NPI number is provided on an as is basis without warranty of any kind. 1447218524 is maintained by the National Plan & Provider Enumeration System. The contents of Nancy Coppic Clark Od are for informational purposes only.