Healthcare Provider Details

I. General information

NPI: 1962577668
Provider Name (Legal Business Name): CAROL ANNETTE DUBARD M.D., M.P.H.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/21/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

221 N GRAHAM HOPEDALE RD
BURLINGTON NC
27217-2971
US

IV. Provider business mailing address

1621 SPRING LILY LN
HILLSBOROUGH NC
27278-8472
US

V. Phone/Fax

Practice location:
  • Phone: 336-570-3739
  • Fax: 336-570-1215
Mailing address:
  • Phone: 919-643-1674
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number9900479
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: