Organization
TKO ANESTHESIA PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NANCY DULIN MD (PRESIDIENT)
(704) 873-0281
Entity
Organization
Contact information
Practice address
218 OLD MOCKSVILLE RD, ANESTHESIA DEPT, STATESVILLE, NC 28625-1930
(704) 873-0281
Mailing address
PO BOX 651711, CHARLOTTE, NC 28265-1711
(704) 873-0281
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
NC
207LP2900X
Pain Medicine (Anesthesiology) Physician
—
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5900185
—
NC
Enumeration date
01/23/2006
Last updated
07/21/2022
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