Individual
GEORGE DORMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1015 S KERR AVE STE C, WILMINGTON, NC 28403-4312
(910) 390-5566
Mailing address
413 LEHIGH RD, WILMINGTON, NC 28412-4200
(413) 977-1801
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
16121
NC
Other
Enumeration date
01/22/2020
Last updated
01/22/2020
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