DIVERSIFIED MEDICAL, PLLC
Organization (NPI-2)
Active
Physical Medicine & Rehabilitation
Provider Information
- NPI Number
1811093693- Provider Type
- Organization / Facility (NPI-2)
- Status
- Active
Contact & Location
- Address
- 200 N HARBOR PL SUITES B/C, DAVIDSON, NC, 280367918
- Phone
- (866) 434-8633
Specialties & Taxonomies
Physical Medicine & Rehabilitation
License: GA #049747
Physical Medicine & Rehabilitation
License: AL #00023727
Physical Medicine & Rehabilitation
License: PA #MD 073346-L
Physical Medicine & Rehabilitation
License: IL #036-106517
Physical Medicine & Rehabilitation
License: NY #237905
Physical Medicine & Rehabilitation
License: IN #01061499A
Physical Medicine & Rehabilitation
License: MD #D0063862
Physical Medicine & Rehabilitation
License: SC #TL28503
Physical Medicine & Rehabilitation
License: KY #33150
Physical Medicine & Rehabilitation
License: OH #35 087813
Physical Medicine & Rehabilitation
License: VA #0101239263
Physical Medicine & Rehabilitation
License: FL #ME 95839
Physical Medicine & Rehabilitation
Primary License: NC #200001012
All Addresses
MAILING
200 N HARBOR PL SUITES B/C
DAVIDSON, NC, 280367918