Healthcare Provider Details

I. General information

NPI: 1679192082
Provider Name (Legal Business Name): HENRY NATHANIEL CURRY DO
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/15/2020
Last Update Date: 06/22/2023
Certification Date: 06/22/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1004 BEAMAN ST
CLINTON NC
28328-2329
US

IV. Provider business mailing address

PO BOX 890315
CHARLOTTE NC
28289-0315
US

V. Phone/Fax

Practice location:
  • Phone: 910-592-9113
  • Fax: 910-590-0050
Mailing address:
  • Phone: 910-596-5402
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number262343
License Number StateNC
# 2
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number2022-02853
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: