Provider Demographics
NPI:1376653576
Name:DUMOND, SARA OYLER (MD)
Entity type:Individual
Prefix:DR
First Name:SARA
Middle Name:OYLER
Last Name:DUMOND
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:5960 FAIRVIEW RD STE 400
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28210-3119
Mailing Address - Country:US
Mailing Address - Phone:704-591-7196
Mailing Address - Fax:800-589-7185
Practice Address - Street 1:5960 FAIRVIEW RD STE 400
Practice Address - Street 2:
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28210-3119
Practice Address - Country:US
Practice Address - Phone:704-591-7196
Practice Address - Fax:800-589-7185
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-30
Last Update Date:2024-09-05
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NC200200214208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC89135HHMedicaid
NCH98566Medicare UPIN