Individual
DAVID LANE INGRAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3024 NEW BERN AVE, ANDREWS CENTER, SUITE 307, RALEIGH, NC 27610-1247
(919) 350-8493
(919) 350-8677
Mailing address
2004 N LAKESHORE DR, CHAPEL HILL, NC 27514-2024
(919) 967-9883
(919) 350-8677
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
19062
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8945251
—
NC
Enumeration date
06/15/2006
Last updated
07/08/2007
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