MALLORY L CHAMBLISS ODPA

WINSTON SALEM, NC
NPI1912177676
Entity TypeOrganization
Authorized ContactMALLORY L CHAMBLISS
President
336-760-4240
Organization Subpart ?No
Primary Taxonomy152W00000X Optometrist
(Licence: NC  0793)
Enumeration Date2008-03-08
Last Update Date2009-08-19
Business Address
MALLORY L CHAMBLISS ODPA
3320 SILAS CREEK PKWY SUITE 150
WINSTON SALEM, NC 27103-3031
Phone number: 336-760-4240
Mailing Address
MALLORY L CHAMBLISS ODPA
PO BOX 279
RURAL HALL, NC 27045-0279
Phone number: 336-760-4240
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