Individual
DR. DOUGLAS DANE BLEVINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3402 BATTLEGROUND AVE, GREENSBORO, NC 27410-2404
(336) 545-1515
Mailing address
507 N LINDSAY ST, HIGH POINT, NC 27262-4303
(336) 883-0029
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
2005-00141
NC
207RI0200X
Infectious Disease Physician
2005-00141
NC
Other
Enumeration date
07/31/2005
Last updated
07/08/2016
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