Individual
DR. JOSETTE MARIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
800 SUSAN TART RD, DUNN, NC 28334-5506
(910) 892-8892
(910) 892-1063
Mailing address
800 SUSAN TART RD, DUNN, NC 28334-5506
(910) 892-8892
(910) 892-1063
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
200100412
NC
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
200100412
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1281E
BCBS NC PROVIDER NUMBER
NC
05
—
891281E
—
NC
Enumeration date
07/13/2005
Last updated
08/14/2021
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