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NPI Code Detail

MEDICARE: DR. SARA OYLER DUMOND M.D.

MEDICARE: DR. SARA OYLER DUMOND 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
1208000000XPediatrics Physician200200214NC

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 : 1376653576
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. SARA OYLER DUMOND M.D.
Provider Business Mailing Address
First Line : 5960 FAIRVIEW RD STE 400
Second Line :
City : CHARLOTTE
State : NC
Zip : 28210-3119
Country : US
Telephone Number : 704-591-7196
Fax Number : 800-589-7185
Provider Business Practice Location Address
First Line : 5960 FAIRVIEW RD STE 400
Second Line :
City : CHARLOTTE
State : NC
Zip : 28210-3119
Country : US
Telephone Number : 704-591-7196
Fax Number : 800-589-7185
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/30/2006
Last Update Date : 09/05/2024

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