Individual
DAVID MATHEW DEWEESE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4529 JESSUP GROVE RD, GREENSBORO, NC 27410
(336) 605-0190
Mailing address
100 KIMEL FOREST DR, WINSTON SALEM, NC 27103-6074
(336) 716-1331
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
2018-00277
NC
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/13/2015
Last updated
07/26/2024
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