Individual
MR. DYLAN THOMAS PLOCKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
3200 NORTHLINE AVE STE 200, GREENSBORO, NC 27408-7602
(336) 545-5000
(336) 545-5020
Mailing address
3200 NORTHLINE AVE STE 200, GREENSBORO, NC 27408-7602
(336) 545-5000
(336) 545-5020
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0010-08998
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
397730042
NSC#
NC
01
—
561079264
PHYSICIANS ASSISTANT
NC
Enumeration date
03/04/2019
Last updated
03/09/2025
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