Fuquay Ophthalmology and Glaucoma PC

NPI #1083717516 in Fuquay Varina, North Carolina

Provider Information

NPI Number: 1083717516
Entity Type: Organization
Organization Name: Fuquay Ophthalmology and Glaucoma PC
Primary Specialty: Ophthalmology
Enumeration Date: Sep 7, 2006
Last Updated: Jun 2, 2020

Practice Location

Address: 605 ATTAIN ST STE 101
City: Fuquay Varina
State: North Carolina
ZIP Code: 27526-1972
Phone: (919) 567-3709

Authorized Official

Name: KENNETH W ROACH, MD
Title: PRESIDENT
Phone: (919) 567-3709

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Ophthalmology	207W00000X	Primary

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