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John Stanley Newsome, OPTICIAN
NPI 1861476228

John Stanley Newsome is a Optician based in Winston Salem, NC and is specialized in Optician. John Stanley Newsome practices in Winston Salem, NC and has the professional credentials of OPTICIAN. The NPI Number for John Stanley Newsome is 1861476228 and holds a License No. 703 (North Carolina).

The current practice location address for John Stanley Newsome is Medical Center Blvd, Winston Salem, NC and can be reached out via phone at 336-716-2255 and via fax at 336-716-7994.

Location: Medical Center Blvd, Winston Salem, NC, 27102-0344
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Provider Profile Details
NPI Number
1861476228
Provider Name
John Stanley Newsome
Credential
OPTICIAN
Provider Entity Type
Individual
Gender
Male
Address
Medical Center Blvd, Winston Salem, NC, 27102-0344
Phone Number
336-716-2255
Fax Number
336-716-7994
Provider Enumeration Date
11/30/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
8801912 05 NC
78269 01 NC MEDCOST
20278 01 NC PARTNERS
77115 01 NC BCBS
institution
Provider Business Practice Location Address Details
Address
Medical Center Blvd
City
State
Zip
27157-0001
Phone Number
336-716-2255
Fax Number
336-716-7994
person
Provider Business Mailing Address Details
Address
Medical Center Blvd
City
State
Zip
27157-0001
Phone Number
336-716-2255
Fax Number
336-716-7994
person
Provider's Taxonomy Details 1
Type
Eye and Vision Services Providers
Classification
Technician/Technologist
Speciality
Optician
Taxonomy
License No.
703 (North Carolina)
Definition
Definition to come...
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