Individual
JOSHUA A DETTINGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
401 W DECATUR ST, MADISON, NC 27025-1913
(336) 548-9618
Mailing address
401 W DECATUR ST, MADISON, NC 27025-1913
(336) 548-9618
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
11017295A
IN
207Q00000X
Family Medicine Physician
Primary
2016-01475
NC
Other
Enumeration date
06/13/2013
Last updated
09/27/2021
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