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Individual

AKIVA DMITRY GIMPELEVICH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
110 PROFESSIONAL PARK, OXFORD, NC 27565-2576
(919) 693-6541
(919) 693-7396
Mailing address
PO BOX 986, OXFORD, NC 27565-0986

Taxonomy

Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
Primary
64219
GA
207VX0000X
Obstetrics Physician
64219
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
003100972A
GA
Enumeration date
01/16/2008
Last updated
06/09/2020
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