Mary Lee Pemberton, Od PC

NPI #1720154974 in Waynesboro, Virginia

Provider Information

NPI Number: 1720154974
Entity Type: Organization
Organization Name: Mary Lee Pemberton, Od PC
Primary Specialty: Optometrist
Enumeration Date: Nov 28, 2006
Last Updated: Jun 12, 2009

Practice Location

Address: 2522 JEFFERSON HWY
Address 2: SUITE 106
City: Waynesboro
State: Virginia
ZIP Code: 22980-8503
Phone: (540) 946-8727

Authorized Official

Name: DR. MARY LEE PEMBERTON, O.D.
Title: PRESIDENT
Phone: (540) 946-8727

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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