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Individual

OLIVIA BOSSHARDT HUGHES

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
108 DORNACH WAY, ADVANCE, NC 27006-7305
(336) 940-2407
Mailing address
108 DORNACH WAY, ADVANCE, NC 27006-7305
(336) 940-2407

Taxonomy

Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
240731
NC
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
03/30/2017
Last updated
08/09/2021
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