Individual
DAVID DOERR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
52 MONTPELIER LN, CLAYTON, NC 27527-4230
(910) 391-5813
Mailing address
52 MONTPELIER LN, CLAYTON, NC 27527-4230
Taxonomy
Speciality
Code
Description
License number
State
376J00000X
Homemaker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
24493480
DRIVERS LICENSE
NC
Enumeration date
01/28/2018
Last updated
01/28/2018
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