Individual
DR. MARC DEMASON
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
515 THOMPSON ST, SUITE B, EDEN, NC 27288-5068
(336) 623-9118
(336) 623-1902
Mailing address
515 THOMPSON ST, SUITE B, EDEN, NC 27288-5068
(336) 623-9118
(336) 623-1902
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
27157
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
032953
ANTHEM
VA
01
—
28320
BLUE CROSS BLUE SHIELD NC
NC
01
—
37469
MEDCOST
NC
01
—
4155
PARTNERS MEDICARE
NC
01
—
5778367
AETNA
NC
01
—
7350325
VIRGINIA MEDICAL ASSISTAN
VA
05
—
7928320
—
NC
Enumeration date
11/18/2005
Last updated
07/08/2007
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