Diversified Medical, Pllc
NPI #1811093693 in Davidson, North Carolina
Provider Information
- NPI Number
- 1811093693
- Entity Type
- Organization
- Organization Name
- Diversified Medical, Pllc
- Primary Specialty
- Physical Medicine & Rehabilitation
- Enumeration Date
- Sep 16, 2006
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 200 N HARBOR PL
- Address 2
- SUITES B/C
- City
- Davidson
- State
- North Carolina
- ZIP Code
- 28036-7918
- Phone
- (866) 434-8633
Authorized Official
- Name
- DR. WILLIAM CHARLES VAN NESS, M.D.
- Title
- OWNER/CEO
- Phone
- (866) 434-8633
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physical Medicine & Rehabilitation |
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