Individual
DR. DANIEL MARK ENTWISTLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
200 ARTHUR DR, THOMASVILLE, NC 27360-6275
(336) 475-2348
(336) 475-2100
Mailing address
200 ARTHUR DR, THOMASVILLE, NC 27360-6275
(336) 475-2348
(336) 475-2100
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
95-00890
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8930936
—
NC
01
—
95-00890
NC LICENSE
NC
Enumeration date
04/07/2009
Last updated
04/07/2009
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