Individual
RICHARD E DATA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
364 WHITE OAK ST, ASHEBORO, NC 27203-5434
(336) 328-4100
Mailing address
PO BOX 667, DESOTO, TX 75123-0667
(469) 567-6630
(469) 567-6680
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
34844
NC
Other
Enumeration date
10/06/2006
Last updated
03/11/2008
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