Provider Demographics
NPI:1194303461
Name:VARNER, JOSEPH DAVID (DO)
Entity type:Individual
Prefix:
First Name:JOSEPH
Middle Name:DAVID
Last Name:VARNER
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5814 PRESTWICK CT
Mailing Address - Street 2:
Mailing Address - City:LEXINGTON
Mailing Address - State:NC
Mailing Address - Zip Code:27295-8558
Mailing Address - Country:US
Mailing Address - Phone:336-239-8507
Mailing Address - Fax:
Practice Address - Street 1:6750 CAROLINA BLVD
Practice Address - Street 2:
Practice Address - City:CLYDE
Practice Address - State:NC
Practice Address - Zip Code:28721-7052
Practice Address - Country:US
Practice Address - Phone:828-627-2211
Practice Address - Fax:855-876-9354
Is Sole Proprietor?:No
Enumeration Date:2021-03-30
Last Update Date:2024-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC2020-00767207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine