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Individual

DR. JOSEPH MICHAEL DEGULIS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
255 FORESAIL RD, SALISBURY, NC 28146-9467
(704) 431-4922
Mailing address
255 FORESAIL RD, SALISBURY, NC 28146-9467
(704) 431-4922

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
19025
SC
207P00000X
Emergency Medicine Physician
Primary
97-00228
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
E520949326
MEDICARE FOR SOUTH CAROLINA
SC
Enumeration date
02/08/2006
Last updated
06/03/2021
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