Individual
DR. MARK J DEVRIES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1668 NC HIGHWAY 16 S, TAYLORSVILLE, NC 28681-6285
(828) 632-9736
(828) 632-9544
Mailing address
1668 NC HIGHWAY 16 S, P O BOX 579, TAYLORSVILLE, NC 28681-6285
(828) 632-9736
(828) 632-9544
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
9901160
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8912288
—
NC
Enumeration date
07/10/2006
Last updated
07/25/2012
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