Provider Demographics
NPI:1174517221
Name:BIAS, DONALD FORREST JR (MD)
Entity type:Individual
Prefix:DR
First Name:DONALD
Middle Name:FORREST
Last Name:BIAS
Suffix:JR
Gender:M
Credentials:MD
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Mailing Address - Street 1:1470 E GASTON ST STE 300
Mailing Address - Street 2:
Mailing Address - City:LINCOLNTON
Mailing Address - State:NC
Mailing Address - Zip Code:28092-4433
Mailing Address - Country:US
Mailing Address - Phone:704-735-7474
Mailing Address - Fax:704-735-8788
Practice Address - Street 1:1470 E GASTON ST STE 300
Practice Address - Street 2:
Practice Address - City:LINCOLNTON
Practice Address - State:NC
Practice Address - Zip Code:28092-4433
Practice Address - Country:US
Practice Address - Phone:704-735-7474
Practice Address - Fax:704-735-8788
Is Sole Proprietor?:No
Enumeration Date:2005-09-06
Last Update Date:2019-02-25
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Provider Licenses
StateLicense IDTaxonomies
NC9700469207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
116472OtherWELLPATH
CH4510OtherRAILROAD MEDICARE
NC0176LOtherBCBS
NC1174517221Medicaid
1627444OtherCIGNA
NC890176LMedicaid
D98014Medicare UPIN