Individual
DESTINY D FOLK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1000 BLYTHE BLVD, CHARLOTTE, NC 28203-5871
(704) 355-3181
Mailing address
6025 CALEDONIA ST, RALEIGH, NC 27609-3625
(919) 610-6361
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
01092627A
IN
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1104198199
ANTHEM PTAN
IN
05
—
300090068
—
IN
Enumeration date
03/25/2021
Last updated
03/07/2025
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