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Individual
RICHARD M PAVELOCK
Active
Individual
RICHARD M PAVELOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
—
NULL
207Q00000X
Family Medicine Physician
39460
NC
207R00000X
Internal Medicine Physician
39460
NC
2084A0401X
Addiction Medicine (Psychiatry & Neurology) Physician
Primary
39460
NC
2084P0005X
Neurodevelopmental Disabilities Physician
39460
NC
Other
Enumeration date
10/26/2006
Last updated
08/26/2024
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