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Dr. Courtney Mickle-dittrich, DMD
Student in an Organized Health Care Education/Training Program in Bolivia, North Carolina
NPI 1376230698

Courtney Mickle-dittrich is a Student in an Organized Health Care Education/Training Program based in Owasso, NC. Courtney Mickle-dittrich practices in Bolivia, NC and has the professional credentials of DMD. The NPI Number for Courtney Mickle-dittrich is 1376230698 and holds a License No. (North Carolina).

The current practice location address for Courtney Mickle-dittrich is 100 Brunswick Medical Center Pkwy Ne, Bolivia, NC and can be reached out via phone at 910-253-9000.

Location: 100 Brunswick Medical Center Pkwy Ne, Bolivia, NC, 74055-4950
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1376230698
Provider Name
Courtney Mickle-dittrich
Credential
DMD
Provider Entity Type
Individual
Gender
Female
Address
100 Brunswick Medical Center Pkwy Ne, Bolivia, NC, 74055-4950
Phone Number
910-253-9000
Fax Number
Provider Enumeration Date
04/18/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
100 Brunswick Medical Center Pkwy Ne
City
Bolivia
State
North Carolina
Zip
28422-1001
Phone Number
910-253-9000
Fax Number
person
Provider Business Mailing Address Details
Address
100 Brunswick Medical Center Pkwy Ne
City
Bolivia
State
North Carolina
Zip
28422-1001
Phone Number
910-253-9000
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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