Individual
ANASTASSIA DOUTOVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1200 N ELM ST, GREENSBORO, NC 27401-1004
(336) 274-6515
(336) 275-0812
Mailing address
PO BOX 14883, GREENSBORO, NC 27415-4883
(336) 274-6515
(336) 275-0812
Taxonomy
Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
Primary
2008-00825
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5910860
—
NC
01
—
P00660448
RR MEDICARE
NC
Enumeration date
04/17/2007
Last updated
02/23/2009
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