Organization
DAWSON STREET FAMILY PRACTICE P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RONALD DEMAS (MEDICAL DIRECTOR / OWNER)
(910) 667-0471
Entity
Organization
Contact information
Practice address
608 DAWSON ST, WILMINGTON, NC 28401-5712
(910) 667-0471
(910) 667-0475
Mailing address
608 DAWSON ST, WILMINGTON, NC 28401-5712
(910) 667-0471
(910) 667-0475
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
153430
NC
Other
Enumeration date
11/04/2008
Last updated
11/04/2008
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