Individual
DR. PATRICK M DENNIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
701 DOCTORS DR, KINSTON, NC 28501-1584
(252) 522-1611
(252) 522-0189
Mailing address
1503 SAINT JAMES PL, KINSTON, NC 28504-2543
(252) 522-1611
(252) 522-0189
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
24377
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01153
BCBS GROUP PROV ID
NC
01
—
28336
BCBS IND PROV ID
NC
05
—
8901153
—
NC
05
—
8928336
—
NC
Enumeration date
01/11/2006
Last updated
05/23/2008
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