W. Berry Maultsby, Jr., O.d., P.c.

NPI #1134354897 in Danville, Virginia

Provider Information

NPI Number: 1134354897
Entity Type: Organization
Organization Name: W. Berry Maultsby, Jr., O.d., P.c.
Primary Specialty: Optometrist
Enumeration Date: May 26, 2009
Last Updated: Jun 2, 2009

Practice Location

Address: 413 MT. CROSS ROAD
Address 2: SUITE 203
City: Danville
State: Virginia
ZIP Code: 24540
Phone: (434) 791-3937

Authorized Official

Name: DR. WALLACE BERRY MAULTSBY JR., O.D.
Title: OPTOMETRIST
Phone: (434) 791-3937

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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