Dallas Internal Medicine | |
701 W Trade St Dallas NC 28034-1544 | |
(704) 922-3106 | |
(704) 922-1369 |
Full Name | Dallas Internal Medicine |
---|---|
Speciality | Internal Medicine |
Location | 701 W Trade St, Dallas, North Carolina |
Authorized Official Name and Position | Craig A. Dunker (VP PRACTICE MANAGEMENT) |
Authorized Official Contact | 7048342135 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Dallas Internal Medicine 701 W Trade St Dallas NC 28034-1544 Ph: (704) 922-3106 | Dallas Internal Medicine 701 W Trade St Dallas NC 28034-1544 Ph: (704) 922-3106 |
NPI Number | 1437387750 |
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Provider Enumeration Date | 06/25/2009 |
Last Update Date | 07/27/2011 |
Identifier | Type | State | Issuer |
---|---|---|---|
1437387750 | NPI | - | NPPES |
5911865 | Medicaid | NC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | (* (Not Available)) | Primary |
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