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Search › North Carolina › 2084S0012X

Dittana Phoncharoensri, M.D

NPI 1750585170 · on the registry since 2007

Practice

Address
152 E Kinderton Way Ste 101
Bermuda Run, NC 27006
Phone
(336) 893-3180
Fax
(336) 893-3189
Organisation at this address
Novant Medical Group, Inc.
Novant Health Medical Group, Llc
Novant Health Medical Group, Llc
Novant Health Medical Group, Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
6

Additional practice sites

  • 606 N Elm St, High Point, NC
  • 606 N Elm St, High Point, NC

Registry record

Primary taxonomy
2084S0012X
2084S0012X
Licence states on file
NC
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2020-10-25

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in North Carolina