Individual
DR. ANGELA OH PARK ANTIPIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
794 S MAIN ST STE B, KERNERSVILLE, NC 27284-4074
(336) 904-2317
(336) 443-6030
Mailing address
PO BOX 751803, CHARLOTTE, NC 28275-1803
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
0101255706
VA
207Q00000X
Family Medicine Physician
173154
NC
207Q00000X
Family Medicine Physician
Primary
2014-01407
NC
Other
Enumeration date
06/07/2011
Last updated
07/30/2021
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