Individual
DR. NICHOLAS JOSEPH PLACENTRA JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
240 HIGHWAY 105 EXT STE 100, BOONE, NC 28607-4291
(828) 264-7311
(828) 264-7907
Mailing address
PO BOX 1490, BOONE, NC 28607-1490
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
9600685
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
89014XX
—
NC
05
—
891033X
—
NC
Enumeration date
08/11/2006
Last updated
03/13/2023
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