Organization
DIVERSIFIED MEDICAL, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WILLIAM CHARLES VAN NESS M.D. (OWNER/CEO)
(866) 434-8633
Entity
Organization
Contact information
Practice address
200 N HARBOR PL, SUITES B/C, DAVIDSON, NC 28036-7918
(866) 434-8633
Mailing address
200 N HARBOR PL, SUITES B/C, DAVIDSON, NC 28036-7918
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
00023727
AL
208100000X
Physical Medicine & Rehabilitation Physician
0101239263
VA
208100000X
Physical Medicine & Rehabilitation Physician
01061499A
IN
208100000X
Physical Medicine & Rehabilitation Physician
049747
GA
208100000X
Physical Medicine & Rehabilitation Physician
237905
NY
208100000X
Physical Medicine & Rehabilitation Physician
33150
KY
208100000X
Physical Medicine & Rehabilitation Physician
35 087813
OH
208100000X
Physical Medicine & Rehabilitation Physician
D0063862
MD
208100000X
Physical Medicine & Rehabilitation Physician
MD 073346-L
PA
208100000X
Physical Medicine & Rehabilitation Physician
ME 95839
FL
208100000X
Physical Medicine & Rehabilitation Physician
TL28503
SC
208100000X
Physical Medicine & Rehabilitation Physician
—
IL
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
NC
Other
Enumeration date
09/16/2006
Last updated
08/22/2020
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