Individual
MRS. DANA MEREDITH DORENFELD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.
Contact information
Practice address
3006 BAUCOM RD, SUITE 100, CHARLOTTE, NC 28269-6762
(704) 596-1787
(704) 596-6230
Mailing address
3006 BAUCOM RD, SUITE 100, CHARLOTTE, NC 28269-6762
(704) 596-1787
(704) 596-6230
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
103089
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0179T
BLUE CROSS BLUE SHIELD
NC
Enumeration date
08/18/2006
Last updated
07/08/2007
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