Individual
DR. CEDRIC R DEANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1219 LEXINGTON AVE, SUITE A, THOMASVILLE, NC 27360-2870
(336) 475-7148
(336) 475-7031
Mailing address
1219 LEXINGTON AVE, SUITE A, THOMASVILLE, NC 27360-2870
(336) 475-7148
(336) 475-7031
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
21165
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
27977
BCBS OF NC
NC
05
—
8927977
—
NC
Enumeration date
11/14/2005
Last updated
07/09/2007
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