Individual
DR. NAILESH D DAVE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
350 PINE STATE ST, LILLINGTON, NC 27546-9428
(910) 893-9700
(910) 893-9747
Mailing address
350 PINE STATE STREET, LILLINGTON, NC 27546-7961
(910) 893-9700
(910) 893-9747
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
9900027
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1209M
BLUE CROSS BLUE SHIELD NC
NC
01
—
2076867
FIRST HEALTH
NC
01
—
7638069
AETNA HEALTHCARE
NC
05
—
891209M
—
NC
Enumeration date
04/25/2006
Last updated
04/26/2011
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