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DAVID ALAN WINSTON DUVERNOIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA-C

Contact information

Practice address
1023 EDGEHILL RD S, CHARLOTTE, NC 28207-1829
(704) 355-8686
(704) 355-8687
Mailing address
PO BOX 601372, CHARLOTTE, NC 28260-1372
(704) 355-8686
(704) 355-8687

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0010-01907
NC
363A00000X
Physician Assistant
0110003334
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1205066453
NC
05
1560PA
SC
05
8103037
NC
Enumeration date
07/22/2009
Last updated
08/19/2022
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