Luis Anthony Acevedo, DO
Individual provider Active NPI Student in an Organized Health Care Education/Training Program · Dunn, NC
NPI 1659114239 · NPPES record last updated Sep 19, 2024
Key facts
- NPI
- 1659114239
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Student in an Organized Health Care Education/Training Program 390200000X
- Practice address
- 800 Tilghman Dr
Dunn, NC 28334-5510 - Phone
- (910) 897-6423
- NPI assigned
- Jun 13, 2024
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RTL24-1026 | NC | MD | Family Medicine Physician |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | RTL24-1026 | NC | |
| Student in an Organized Health Care Education/Training Program | 390200000X | Yes |
Addresses
Primary practice location
800 Tilghman Dr
Dunn, NC 28334-5510
Mailing address
800 Tilghman Dr
Dunn, NC 28334-5510
Phone (910) 891-6030
Other providers in Dunn, NC
- A1A-Arc of Dunn, LLC
- Karen Antiporda Abalos
- Abc Pediatrics of Dunn, PA
- Acclaim Counseling and Treatment Center LLC
- Accu Care Transportation Inc
- Angela Acosta
- Carlisha Adams
- Adapt Incorporated
- Ade Home Healthcare LLC
- Nikita Adeogun
All providers in Dunn, NC · Student in an Organized Health Care Education/Training Program in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 19, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.