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Mr. Mark Eugene Deaver
Student in an Organized Health Care Education/Training Program in Gastonia, North Carolina
NPI 1922447168

Mark Eugene Deaver is a Student in an Organized Health Care Education/Training Program based in Gastonia, NC. Mark Eugene Deaver practices in Gastonia, NC. The NPI Number for Mark Eugene Deaver is 1922447168 and holds a License No. (North Carolina).

The current practice location address for Mark Eugene Deaver is 2500 E Franklin Blvd, Gastonia, NC and can be reached out via phone at 704-867-2474.

Location: 2500 E Franklin Blvd, Gastonia, NC, 28056-7262
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1922447168
Provider Name
Mark Eugene Deaver
Credential
Provider Entity Type
Individual
Gender
Male
Address
2500 E Franklin Blvd, Gastonia, NC, 28056-7262
Phone Number
704-867-2474
Fax Number
Provider Enumeration Date
06/20/2013
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
2500 E Franklin Blvd
City
Gastonia
State
North Carolina
Zip
28056-7262
Phone Number
704-867-2474
Fax Number
person
Provider Business Mailing Address Details
Address
2500 E Franklin Blvd
City
Gastonia
State
North Carolina
Zip
28056-7262
Phone Number
704-867-2474
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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