# DR. JOHN D IRVIN

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1043207749
- **Gender:** Man
- **Credential:** MD

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 94-01419 | NC | Yes |

## Other

- **Enumeration date:** 09/29/2005
- **Last updated:** 03/04/2014

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 0128762 | UNITED HEALTHCARE | NC |
| 01 | — | 145G6 | BCBS OF NC | NC |
| 01 | — | 77610 | MEDCOST | NC |
| 05 | — | 8945429 | — | NC |