Individual
JOHN WYLDER DUBOSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
215 S MAIN ST, STE 100, MOUNT HOLLY, NC 28120-1620
(704) 302-8555
Mailing address
PO BOX 19305, CHARLOTTE, NC 28219-9305
Taxonomy
Speciality
Code
Description
License number
State
2084A0401X
Addiction Medicine (Psychiatry & Neurology) Physician
2020-03220
NC
2084P0800X
Psychiatry Physician
Primary
2020-03220
NC
2084S0012X
Sleep Medicine (Psychiatry & Neurology) Physician
2020-03220
NC
Other
Enumeration date
07/21/2009
Last updated
07/15/2024
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