Individual
DAWN MADREN CORUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
405 NC HIGHWAY 65, REIDSVILLE, NC 27320-8882
(336) 342-8316
(336) 342-8352
Mailing address
284 EXECUTIVE PARK DR STE 100, CONCORD, NC 28025-1833
(704) 939-1100
(704) 939-1173
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
74305
NC
Other
Enumeration date
05/21/2018
Last updated
05/21/2018
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