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NPI Code Detail

MEDICARE: NEIL PETER DOLAN MD

MEDICARE: NEIL PETER DOLAN MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12084P0800XPsychiatry Physician2020-04472NC
22084P0800XPsychiatry Physician036754CT

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1073542890
Entity Type Code : Individual
Provider Name (Legal Business Name) : NEIL PETER DOLAN MD
Provider Business Mailing Address
First Line : 100 HOSPITAL DR
Second Line :
City : LOUISBURG
State : NC
Zip : 27549-2256
Country : US
Telephone Number : 919-340-8697
Fax Number : 919-853-2430
Provider Business Practice Location Address
First Line : 100 HOSPITAL DR
Second Line :
City : LOUISBURG
State : NC
Zip : 27549-2256
Country : US
Telephone Number : 919-340-8700
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/02/2006
Last Update Date : 01/09/2024

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