Individual
DR. JAIME VILLARREAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2391 COURT DR, STE 110, GASTONIA, NC 28054
(704) 853-3330
(704) 853-8951
Mailing address
2391 COURT DR, STE 110, GASTONIA, NC 28054
(704) 853-3330
(704) 853-8951
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
9800159
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
891113K
—
NC
Enumeration date
03/07/2007
Last updated
08/09/2011
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