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Individual

GREGORY RAY DUNKELBERGER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA C

Contact information

Practice address
216 MOORE RD, KING, NC 27021-8703
(336) 983-4346
(336) 985-5101
Mailing address
PO BOX 751803, CHARLOTTE, NC 28275-1803
(336) 986-4346
(336) 995-5101

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0010-01794
NC
363AM0700X
Medical Physician Assistant
0010-01794
NC
363AM0700X
Medical Physician Assistant
C0001459
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
8101292
NC
Enumeration date
11/20/2006
Last updated
04/10/2023
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