MEDICARE: DR. CARMEN DOHMEIER M.D.

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
1	2084N0400X	Neurology Physician	2003-0023G	NC

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	P00038387	OTHER	NC	PALMETTO GBA RR MEDICARE

General Provider Information

NPI Number	:	1588620066
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. CARMEN DOHMEIER M.D.

Provider Business Mailing Address
First Line	:	PO BOX 29568
Second Line	:
City	:	GREENSBORO
State	:	NC
Zip	:	27429-9568
Country	:	US
Telephone Number	:	336-273-2511
Fax Number	:	336-370-0287

Provider Business Practice Location Address
First Line	:	912 THIRD STREET
Second Line	:	SUITE 101
City	:	GREENSBORO
State	:	NC
Zip	:	27405-6967
Country	:	US
Telephone Number	:	336-273-2511
Fax Number	:	336-370-0287

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/25/2006
Last Update Date	:	09/17/2021

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Directions to “ DR. CARMEN DOHMEIER M.D.” Practice Location

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