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NPI Code Detail

MEDICARE: DUKE UNIVERSITY AFFILIATED PHYSICIANS, INC.

MEDICARE: DUKE UNIVERSITY AFFILIATED PHYSICIANS, INC.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Q00000XFamily Medicine Physician

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
101701OTHERNCBCBS GROUP NUMBER

General Provider Information

NPI Number : 1932137676
Entity Type Code : Organization
Provider Name (Legal Business Name) : DUKE UNIVERSITY AFFILIATED PHYSICIANS, INC.
Provider Business Mailing Address
First Line : PO BOX 110566
Second Line :
City : DURHAM
State : NC
Zip : 27709-5566
Country : US
Telephone Number : 919-620-4855
Fax Number : 919-620-4921
Provider Business Practice Location Address
First Line : 480 RUIN CREEK RD
Second Line :
City : HENDERSON
State : NC
Zip : 27536-2929
Country : US
Telephone Number : 252-492-3152
Fax Number :
Authorized Official
Title or Position : DIRECTOR FINANCE
Name : JENNIFER ROBERTS
Credential :
Telephone Number : 919-684-0439
Provider Enumeration Date : 06/29/2006
Last Update Date : 08/15/2024

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