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1720069693
BUENA VISTA EYE PC
WINSTON SALEM, NC
NPI
1720069693
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Entity Type
Organization
Authorized Contact
AMY BARTA WALL
President
336-723-2555
Organization Subpart ?
No
Primary Taxonomy
207W00000X Ophthalmology
(Licence: NC 9800734)
Enumeration Date
2005-11-08
Last Update Date
2010-11-03
Business Address
BUENA VISTA EYE PC
1214 REYNOLDA RD SUITE A
WINSTON SALEM, NC 27104-1122
Phone number: 336-723-2555
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Mailing Address
BUENA VISTA EYE PC
1214 REYNOLDA RD SUITE A
WINSTON SALEM, NC 27104-1122
Phone number: 336-723-2555
Copy
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