Individual
LUIS ANTHONY ACEVEDO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
800 TILGHMAN DR, DUNN, NC 28334-5510
(910) 897-6423
Mailing address
800 TILGHMAN DR, DUNN, NC 28334-5510
(910) 891-6030
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
RTL24-1026
NC
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
06/13/2024
Last updated
09/19/2024
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