Individual
DR. ADRIAN ALEXANDER MANCHENO REVELO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1214 VAUGHN RD, 1 ST FLOOR, BURLINGTON, NC 27217-2863
(919) 537-7473
Mailing address
1105 CLARENDON ST, DURHAM, NC 27705-3511
(828) 551-8654
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
172999
NC
Other
Enumeration date
06/27/2011
Last updated
08/05/2014
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