Individual
NICHOLAS DALLAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3200 BLUE RIDGE RD STE 210, RALEIGH, NC 27612-8087
(919) 781-9979
(919) 781-0124
Mailing address
3200 BLUE RIDGE RD STE 210, RALEIGH, NC 27612-8087
(919) 781-9979
(919) 781-0124
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
2024-01533
NC
207R00000X
Internal Medicine Physician
82655
GA
Other
Enumeration date
08/09/2013
Last updated
12/06/2024
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