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Individual

DR. TAD GOW

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
RN

Contact information

Practice address
5095 RIO DOSA DOWNS, HOPE MILLS, NC 28348-9357
(571) 835-5437
Mailing address
5095 RIO DOSA DOWNS, HOPE MILLS, NC 28348-9357
(571) 835-5437

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
135175
NC
163WA2000X
Administrator Registered Nurse
Primary
135175
NC
163WC0400X
Case Management Registered Nurse
135175
NC

Other

Enumeration date
10/02/2024
Last updated
10/02/2024
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