Individual
MR. ERIC ROBERT DOLAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1915 RANDOLPH RD, CHARLOTTE, NC 28207-1101
(704) 323-2543
Mailing address
4601 PARK RD STE 300, CHARLOTTE, NC 28209-2290
(704) 323-2090
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0010-11673
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0397730007
NSC #
NC
Enumeration date
11/02/2021
Last updated
11/02/2021
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