Individual
KIERNAN THOMAS DEANGELIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
800 TILGHMAN DR, DUNN, NC 28334-5510
(910) 891-6000
Mailing address
5132 LINKSLAND DR, HOLLY SPRINGS, NC 27540-9154
(443) 386-3759
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
2006-01588
NC
Other
Enumeration date
09/26/2006
Last updated
07/06/2012
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