Healthcare Provider Details

I. General information

NPI: 1124376454
Provider Name (Legal Business Name): UNC VASCULAR ACCESS CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/16/2012
Last Update Date: 08/16/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2214 NELSON HWY
CHAPEL HILL NC
27517-8923
US

IV. Provider business mailing address

143 W FRANKLIN ST SUITE 600
CHAPEL HILL NC
27516-2539
US

V. Phone/Fax

Practice location:
  • Phone: 919-843-4810
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RN0300X
TaxonomyNephrology Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code2085R0204X
TaxonomyVascular & Interventional Radiology Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. ALLEN J. DAUGIRD
Title or Position: PRESIDENT
Credential: M.D.
Phone: 919-843-4810