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Individual

DAVID B MASSEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
111 GATEWAY CENTER DR, KERNERSVILLE, NC 27284-2999
(336) 996-2173
(336) 996-3254
Mailing address
PO BOX 751803, CHARLOTTE, NC 28275-1803
(336) 718-4820

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
27487
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0103568
UHC OF NC
NC
01
27614
MEDCOST
NC
01
54645
BCBS OF NC
NC
01
8417
PARTNERS MEDICARE
NC
05
8954645
NC
Enumeration date
10/05/2006
Last updated
02/21/2013
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