Individual
DALE KANTRICE RADER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1414 FERN CREEK DR, STATESVILLE, NC 28625-9376
(704) 873-6065
(704) 873-6058
Mailing address
1414 FERN CREEK DR, STATESVILLE, NC 28625-9376
(704) 873-6065
(704) 873-6058
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
200700675
NC
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
200700675
NC
Other
Enumeration date
08/19/2005
Last updated
02/28/2023
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