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Richard M Pavelock, MD
Addiction Medicine (Psychiatry & Neurology) Physician in Statesville, North Carolina
NPI 1487739579

Richard M Pavelock is an Addiction Medicine (Psychiatry & Neurology) Physician based in Statesville, NC and is specialized in Addiction Medicine. Richard M Pavelock practices in Statesville, NC and has the professional credentials of MD. The NPI Number for Richard M Pavelock is 1487739579 and holds a License No. (North Carolina).

The current practice location address for Richard M Pavelock is 190 Commerce Blvd, Statesville, NC and can be reached out via phone at 704-838-0516 and via fax at 704-838-0565. You can also correspond with Richard M Pavelock through the mailing address at 2632 FINES CREEK DR, STATESVILLE, NC - 28625-4441 (mailing address contact number: 704-838-0516).

Location: 190 Commerce Blvd, Statesville, NC, 28625-4441
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1487739579
Provider Name
Richard M Pavelock
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
190 Commerce Blvd, Statesville, NC, 28625-4441
Phone Number
704-838-0516
Fax Number
704-838-0565
Provider Enumeration Date
10/26/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
66248 01 NC BCBS OF NC
8966248 05 NC
P00219696 01 NC RAILROAD MEDICARE
institution
Provider Business Practice Location Address Details
Address
190 Commerce Blvd
City
Statesville
State
North Carolina
Zip
28625-8526
Phone Number
704-838-0516
Fax Number
704-838-0565
person
Provider Business Mailing Address Details
Address
190 Commerce Blvd
City
Statesville
State
North Carolina
Zip
28625-8526
Phone Number
704-838-0516
Fax Number
704-838-0565
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
39460 (North Carolina)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
-
Taxonomy
207Q00000X
License No.
39460 (North Carolina)
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
person
Provider's Taxonomy Details 3
Type
Allopathic & Osteopathic Physicians
Classification
Internal Medicine
Speciality
-
Taxonomy
207R00000X
License No.
39460 (North Carolina)
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
person
Provider's Taxonomy Details 4
Type
Allopathic & Osteopathic Physicians
Classification
Psychiatry & Neurology
Speciality
Addiction Medicine
Taxonomy
2084A0401X
License No.
39460 (North Carolina)
Definition
A doctor of osteopathy board eligible/certified in the field of Psychiatry by the American Osteopathic Board of Neurology and Psychiatry is able to obtain a Certificate of Added Qualifications in the field of Addiction Medicine
person
Provider's Taxonomy Details 5
Type
Allopathic & Osteopathic Physicians
Classification
Psychiatry & Neurology
Speciality
Neurodevelopmental Disabilities
Taxonomy
2084P0005X
License No.
()
Definition
A pediatrician or neurologist who specializes in the diagnosis and management of chronic conditions that affect the developing and mature nervous system such as cerebral palsy, mental retardation and chronic behavioral syndromes, or neurologic conditions.
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