Individual
DWAYNE NORTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
7554 HOSPITAL DR STE D303, GLOUCESTER, VA 23061-4178
(804) 693-3400
(804) 693-9793
Mailing address
856 J CLYDE MORRIS BLVD STE A, NEWPORT NEWS, VA 23601-1318
(757) 316-5800
(757) 534-5190
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
0102206030
VA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/20/2015
Last updated
06/18/2020
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