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Individual

DR. DOROTA GAWLAS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
1601 BRENNER AVE, SALISBURY, NC 28144
(704) 638-3450
Mailing address
1601 BRENNER AVE, VA MEDICAL CENTER DEPT OF MHLBS, SALISBURY, NC 28144
(704) 638-3450

Taxonomy

Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
15034R
LA
2084P0800X
Psychiatry Physician
Primary
2007-01625
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
2007-01625
NC MEDICAL LICENSE
NC
05
5908680
NC
Enumeration date
10/23/2006
Last updated
09/20/2012
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