Provider Demographics
NPI:1265546667
Name:OLIVER, JOSEPH ANDREW III (MD)
Entity type:Individual
Prefix:DR
First Name:JOSEPH
Middle Name:ANDREW
Last Name:OLIVER
Suffix:III
Gender:M
Credentials:MD
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Mailing Address - Street 1:PO BOX 1060
Mailing Address - Street 2:316 EAST MAIN STREET
Mailing Address - City:ROCKWELL
Mailing Address - State:NC
Mailing Address - Zip Code:28138-1060
Mailing Address - Country:US
Mailing Address - Phone:704-279-2181
Mailing Address - Fax:704-279-8984
Practice Address - Street 1:316 E MAIN ST
Practice Address - Street 2:
Practice Address - City:ROCKWELL
Practice Address - State:NC
Practice Address - Zip Code:28138-6761
Practice Address - Country:US
Practice Address - Phone:704-279-2181
Practice Address - Fax:704-279-8984
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-19
Last Update Date:2012-08-07
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Provider Licenses
StateLicense IDTaxonomies
NC95-01366207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NCG14208Medicare UPIN