Mallory L Chambliss Odpa
Mallory L Chambliss Odpa is an Optometrist in Winston Salem, North Carolina. Licensed in North Carolina. Registered with an NPI since 2008.
- Licensed in
- NC
- In the registry since
- 2008
Practice location Address checks out
3320 Silas Creek Pkwy Ste 150Winston Salem, NC 27103-3031
Phone: (336) 760-4240
Fax: (336) 760-4240
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Optometrist (primary) | Taxonomy 152W00000X · Licence 0793 (NC) |
|---|
Record details
| NPI number | 1912177676 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Mallory Chambliss — President · (336) 760-4240 |
| NPI enumerated | March 8, 2008 |
| Last updated in NPPES | August 19, 2009 |
| Mailing address | Po Box 279, Rural Hall, NC 27045-0279 |
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