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Individual

DR. WILLIAM CHARLES VANNESS III

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
116 MORLAKE DR, SUITE 204, MOORESVILLE, NC 28117
(704) 663-3777
(704) 664-6615
Mailing address
116 MORLAKE DR, SUITE 204, MOORESVILLE, NC 28117-9232
(704) 663-3777
(704) 664-6615

Taxonomy

Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
200001012
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
89126TU
NC
Enumeration date
12/12/2005
Last updated
12/10/2020
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