Individual
DR. ADREA D THEODORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D., M.P.H.
Contact information
Practice address
1206-B VAUGHN ROAD, BURLINGTON, NC 27216
(336) 228-0813
(336) 228-7087
Mailing address
1206-B VAUGHN ROAD, P. O. BOX 673, BURLINGTON, NC 27216
(336) 228-0813
(336) 228-7087
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
9701880
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
981199T
—
NC
Enumeration date
02/27/2009
Last updated
10/14/2009
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