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Individual

ERIC TAVIS SEVENSMA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
2209 S STERLING ST STE 600, MORGANTON, NC 28655-4092
(828) 580-2250
(828) 580-2252
Mailing address
2209 S STERLING ST STE 600, MORGANTON, NC 28655-4092
(828) 580-2250
(828) 580-2252

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
2018-00146
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1346465143
NC
Enumeration date
04/16/2007
Last updated
09/27/2018
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