Individual provider · NPI-1

Dr. Joel Bruce Dragelin, MD

Surgery · Raleigh, NC

NPI number1801896691
StatusActive
Last updated in NPPESMar 29, 2021

Details

NPI
1801896691
Entity type
Individual (NPI-1)
Name
Dr. Joel Bruce Dragelin
Credential
MD
Sex
Male
Sole proprietor
No
Enumeration date
Jul 22, 2005
Certification date
Mar 29, 2021
Last updated
Mar 29, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
208600000X Surgery9400475NCYes
208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery)9400475NC

Practice location

2800 Blue Ridge Rd Ste 300
Raleigh, NC 27607-6476

Phone 919-784-7874

Mailing address

2800 Blue Ridge Rd Ste 300
Raleigh, NC 27607-6476

Phone 919-784-7874

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