Provider Demographics
NPI:1760555411
Name:DUBIEL, BARBARA T (MD)
Entity Type:Individual
Prefix:
First Name:BARBARA
Middle Name:T
Last Name:DUBIEL
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6750 CAROLINA BLVD
Mailing Address - Street 2:
Mailing Address - City:CLYDE
Mailing Address - State:NC
Mailing Address - Zip Code:28721-7052
Mailing Address - Country:US
Mailing Address - Phone:828-627-2211
Mailing Address - Fax:828-627-2216
Practice Address - Street 1:30 N MAIN ST
Practice Address - Street 2:
Practice Address - City:CANTON
Practice Address - State:NC
Practice Address - Zip Code:28716-3805
Practice Address - Country:US
Practice Address - Phone:828-646-0080
Practice Address - Fax:828-646-0580
Is Sole Proprietor?:No
Enumeration Date:2006-11-17
Last Update Date:2015-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC200101329207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC891360E1Medicaid
NCP00399925OtherRR MEDICARE
NC2062327Medicare PIN
NC891360E1Medicaid