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Wavely Lee Sledge, DO
Optician in Fayetteville, North Carolina
NPI 1518155712

Wavely Lee Sledge is a Optician based in Fayetteville, NC and is specialized in Optician. Wavely Lee Sledge practices in Fayetteville, NC and has the professional credentials of DO. The NPI Number for Wavely Lee Sledge is 1518155712 and holds a License No. 826 (North Carolina).

The current practice location address for Wavely Lee Sledge is 160 Bienville Dr, Fayetteville, NC and can be reached out via phone at 910-488-0598 and via fax at 910-488-0598.

Location: 160 Bienville Dr, Fayetteville, NC, 28311-9335
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1518155712
Provider Name
Wavely Lee Sledge
Credential
DO
Provider Entity Type
Individual
Gender
Male
Address
160 Bienville Dr, Fayetteville, NC, 28311-9335
Phone Number
910-488-0598
Fax Number
910-488-0598
Provider Enumeration Date
10/12/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
8801882 05 NC
institution
Provider Business Practice Location Address Details
Address
160 Bienville Dr
City
Fayetteville
State
North Carolina
Zip
28311-9335
Phone Number
910-488-0598
Fax Number
910-488-0598
person
Provider Business Mailing Address Details
Address
160 Bienville Dr
City
Fayetteville
State
North Carolina
Zip
28311-9335
Phone Number
910-488-0598
Fax Number
910-488-0598
person
Provider's Taxonomy Details 1
Type
Eye and Vision Services Providers
Classification
Technician/Technologist
Speciality
Optician
Taxonomy
156FX1800X
License No.
826 (North Carolina)
Definition
Definition to come...
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