Organization
DAVIE ALLERGY AND ASTHMA CLINIC, PA
Active
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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