Organization
DAVIE ALLERGY AND ASTHMA CLINIC, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RICHARD CHARLES HERRING MD (SHAREHOLDER)
(336) 998-3833
Entity
Organization
Contact information
Practice address
108 DORNACH WAY, SUITE 200, ADVANCE, NC 27006-7305
(336) 998-3833
(336) 998-0908
Mailing address
108 DORNACH WAY, SUITE 200, ADVANCE, NC 27006-7305
(336) 998-3833
(336) 998-0908
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
2010-00510
NC
207RA0201X
Allergy & Immunology (Internal Medicine) Physician
Primary
2010-00510
NC
Other
Enumeration date
09/08/2010
Last updated
09/08/2010
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