MEDICARE: DONNA ALINE CULTON 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
1	207N00000X	Dermatology Physician	2007-01762	NC

General Provider Information

NPI Number	:	1487876223
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DONNA ALINE CULTON MD

Provider Business Mailing Address
First Line	:	104 BAYNES CT
Second Line	:
City	:	CHAPEL HILL
State	:	NC
Zip	:	27517-9526
Country	:	US
Telephone Number	:	919-423-8028
Fax Number	:

Provider Business Practice Location Address
First Line	:	410 MARKET ST
Second Line	:	SUITE 400
City	:	CHAPEL HILL
State	:	NC
Zip	:	27516-4061
Country	:	US
Telephone Number	:	919-966-2485
Fax Number	:	919-966-6460

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

Provider Enumeration Date	:	05/02/2007
Last Update Date	:	04/08/2021

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