Individual
DR. ZOE DIANA DRAELOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2444 N MAIN ST, HIGH POINT, NC 27262-7833
(336) 841-2040
(336) 841-2044
Mailing address
2444 N MAIN ST, HIGH POINT, NC 27262-7833
(336) 841-2040
(336) 841-2044
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
31273
NC
207ND0900X
Dermatopathology Physician
31273
NC
207NP0225X
Pediatric Dermatology Physician
31273
NC
207NS0135X
Procedural Dermatology Physician
31273
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1081X
BLUE CROSS AND BLUE SHIEL
NC
05
—
8929147
—
NC
Enumeration date
11/28/2005
Last updated
07/26/2010
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