institution
Larry Dashow Md Pc
Specialist in Burgaw, North Carolina
NPI 1528247137

Larry Dashow Md Pc is a Specialist based in Burgaw, NC. Larry Dashow Md Pc practices in Burgaw, NC. The NPI Number for Larry Dashow Md Pc is 1528247137 and holds a License No. 200300461 (North Carolina).

The current practice location address for Larry Dashow Md Pc is 308 S Bennett St, Burgaw, NC and can be reached out via phone at 910-259-8001 and via fax at 910-259-8003.

Location: 308 S Bennett St, Burgaw, NC, 28425-5048
institution
Provider Profile Details
NPI Number
1528247137
Provider Name
Larry Dashow Md Pc
Credential
Provider Entity Type
Organization
Address
308 S Bennett St, Burgaw, NC, 28425-5048
Phone Number
910-259-8001
Fax Number
910-259-8003
Provider Enumeration Date
10/31/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
13350 01 NC BCBS
8913350 05 NC
institution
Provider Business Practice Location Address Details
Address
308 S Bennett St
City
State
Zip
28425-5048
Phone Number
910-259-8001
Fax Number
910-259-8003
person
Provider Business Mailing Address Details
Address
308 S Bennett St
City
State
Zip
28425-5048
Phone Number
910-259-8001
Fax Number
910-259-8003
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
License No.
200300461 (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.
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