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NPI Code Detail

MEDICARE: DOUGLAS B KIRSCH MD

MEDICARE:   DOUGLAS B KIRSCH  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
12084N0400XNeurology Physician2014-01857NC
22084S0012XSleep Medicine (Psychiatry & Neurology) Physician2014-01857NC

General Provider Information

NPI Number : 1841304748
Entity Type Code : Individual
Provider Name (Legal Business Name) : DOUGLAS B KIRSCH MD
Provider Business Mailing Address
First Line : PO BOX 19305
Second Line :
City : CHARLOTTE
State : NC
Zip : 28219-9305
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1601 ABBEY PL
Second Line : STE 200
City : CHARLOTTE
State : NC
Zip : 28209-3835
Country : US
Telephone Number : 704-512-2980
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/18/2006
Last Update Date : 07/15/2024

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Directions to “ DOUGLAS B KIRSCH MD” Practice Location

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