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NPI Code Detail

MEDICARE: MARGARET ANNE DOLAN PA-C

MEDICARE:   MARGARET ANNE DOLAN  PA-C
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
1363A00000XPhysician Assistant104118NC

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1104118OTHERNCNC STATE LICENSE

General Provider Information

NPI Number : 1124108881
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARGARET ANNE DOLAN PA-C
Provider Business Mailing Address
First Line : 3608 MEDICAL PARK CT
Second Line :
City : MOREHEAD CITY
State : NC
Zip : 28557-4347
Country : US
Telephone Number : 252-247-3476
Fax Number : 252-247-3478
Provider Business Practice Location Address
First Line : 3608 MEDICAL PARK CT
Second Line :
City : MOREHEAD CITY
State : NC
Zip : 28557-4347
Country : US
Telephone Number : 252-247-3476
Fax Number : 252-247-3478
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/17/2006
Last Update Date : 06/19/2024

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Directions to “ MARGARET ANNE DOLAN PA-C” Practice Location

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