Organization
CAROLINA KIDNEY AND VASCULAR, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT BRADEN DUNMIRE III MD (PRESIDENT)
(919) 580-9840
Entity
Organization
Contact information
Practice address
2809 MCLAMB PL, GOLDSBORO, NC 27534-1647
(919) 580-9840
(919) 580-9838
Mailing address
2809 MCLAMB PL, GOLDSBORO, NC 27534-1647
(919) 580-9840
(919) 580-9838
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
890191E
—
NC
Enumeration date
03/18/2014
Last updated
03/18/2014
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