Individual
DEKARLOS M DIAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
1814 WESTCHESTER DR, STE 300, HIGH POINT, NC 27262-7369
(336) 802-2055
(336) 802-2056
Mailing address
1701 WESTCHESTER DR, STE 850, HIGH POINT, NC 27262-7254
(336) 802-2400
(336) 802-2001
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
SC005699
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5907399
—
NC
01
—
P00412264
RR MEDICARE
NC
Enumeration date
06/12/2006
Last updated
07/13/2009
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