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Individual

DR. PHILIP ANTHONY EATON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
203 MOCKSVILLE AVE, SUITE B, SALISBURY, NC 28144-3359
(704) 636-0971
(704) 636-0769
Mailing address
203 MOCKSVILLE AVE, SUITE B, SALISBURY, NC 28144-3359
(704) 636-0971
(704) 636-0769

Taxonomy

Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
14758
HI
207N00000X
Dermatology Physician
Primary
2008-00827
NC
207N00000X
Dermatology Physician
IP859
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
5911719
NC
Enumeration date
02/07/2007
Last updated
08/17/2011
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