John D Irvin MD

NPI 1043207749 - Family Medicine - 207Q00000X

NPI Details
NPI 1043207749
Gender Male
Enumeration Date 09/29/2005
Last Updated 03/04/2014
Entity Type Individual
Active Over 11 years ago
Practice Location
4654 LONG BEACH RD SE
SOUTHPORT NC, 28461-8799, US
Phone (910) 457-9564
Fax (910) 457-6744
Business Location
6407 GREEN ARBOR LN
WILMINGTON NC, 28409-2137, US
Phone (910) 470-3888
Fax
Toxanomy
Taxonomy Code 207Q00000X
License State North Carolina
License Number 94-01419
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According to our database, Dr. John D Irvin MD NPI is 1043207749, taxonomy code is 207Q00000X and license number is 94-01419, license state is located at North Carolina. John D Irvin MD physically located at 4654 Long Beach Rd Se, Southport NC, 28461-8799. NPI Number John D Irvin MD has the Individual type.

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1043207749 NPI number is provided on an as is basis without warranty of any kind. 1043207749 is maintained by the National Plan & Provider Enumeration System. The contents of John D Irvin MD are for informational purposes only.