Individual
MR. ERIC L DEAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1409 YANCEYVILLE ST, SUITE C, GREENSBORO, NC 27405-6960
(336) 954-1007
(336) 954-1183
Mailing address
PO BOX 13118, GREENSBORO, NC 27415-3118
(336) 954-1007
(336) 954-1183
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
25680
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0172W
BCBS ID #
NC
01
—
25680
STATE LICENSE #
NC
05
—
7927976
—
NC
05
—
890172W
—
NC
Enumeration date
04/03/2006
Last updated
03/07/2023
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