Provider Demographics
NPI:1235972357
Name:THURMOND, GEORGE M (OD)
Entity type:Individual
Prefix:DR
First Name:GEORGE
Middle Name:M
Last Name:THURMOND
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:7615 ROYSTER RD
Mailing Address - Street 2:
Mailing Address - City:GREENSBORO
Mailing Address - State:NC
Mailing Address - Zip Code:27455-8215
Mailing Address - Country:US
Mailing Address - Phone:336-404-7945
Mailing Address - Fax:
Practice Address - Street 1:1015 HWY 150 WEST
Practice Address - Street 2:SUITE D
Practice Address - City:SUMMERFIELD
Practice Address - State:NC
Practice Address - Zip Code:27358
Practice Address - Country:US
Practice Address - Phone:336-281-2015
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-06-17
Last Update Date:2024-07-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0618003411152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist