Individual
DR. JERRY SHUMATE ALVIS
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
D.D.S., P.A.
Contact information
Practice address
5603 DURALEIGH RD, SUITE 131, RALEIGH, NC 27612-2688
(919) 782-5752
(919) 782-5797
Mailing address
5603 DURALEIGH RD, SUITE 131, RALEIGH, NC 27612-2688
(919) 782-5752
(919) 782-5797
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
6792
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1455728
UNITED CONCORDIA
NC
01
—
90065
BCBS
NC
Enumeration date
06/20/2006
Last updated
07/08/2007
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