Individual
DR. DOUGLAS BRIAN VILLARET
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6035 FAIRVIEW RD, CHARLOTTE, NC 28210-3256
(704) 295-3000
(704) 295-3666
Mailing address
6035 FAIRVIEW RD, CHARLOTTE, NC 28210-3256
(704) 295-3000
(704) 295-3666
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
2008-00816
NC
207Y00000X
Otolaryngology Physician
31310
SC
207Y00000X
Otolaryngology Physician
ME82588
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01205369
AMERIGROUP COMMUNITY CARE
SC
01
—
20083727
SELECT HEALTH OF SC
SC
05
—
257097100
—
FL
01
—
3376774
CIGNA
NC
01
—
56162
MEDCOST
NC
05
—
5909907
—
NC
01
—
89696
CHCARES OF SC
SC
05
—
N16008
—
SC
Enumeration date
07/16/2006
Last updated
04/26/2021
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