Individual
MR. DAKOTA GARRON IRWIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
10628 PARK RD, CHARLOTTE, NC 28210-8407
(800) 828-0898
(330) 493-8677
Mailing address
10628 PARK RD, CHARLOTTE, NC 28210-8407
(800) 828-0898
(330) 493-8677
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
001007830
NC
Other
Enumeration date
01/12/2018
Last updated
05/08/2024
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