Ravenel, Samuel Dubose

Ravenel, Samuel Dubose is an individual health care provider with primary practice located at 1814 Westchester Drive Suite 203, High Point NC 27262-3832. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Ravenel, Samuel Dubose can be contacted via phone (336) 802-2100.

Contact Information

Primary practice address
1814 Westchester Drive Suite 203 High Point NC 27262-3832
Phone: (336) 802-2100
Fax: (336) 802-2101
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 14283 North Carolina

Profile Details

NPI number 1447297635
LBN Legal business name Ravenel, Samuel Dubose
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 31st, 2006
Last updated Mar 22nd, 2010 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1447297635 NPPES
North Carolina MEDICAID 8970539

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