Healthcare Provider Details

I. General information

NPI: 1386584308
Provider Name (Legal Business Name): NICHOLAS BRAUN JUHASZ DO
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/30/2026
Last Update Date: 03/30/2026
Certification Date: 03/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

800 TILGHMAN DR
DUNN NC
28334-5510
US

IV. Provider business mailing address

100 WINSTON DR
LILLINGTON NC
27546-5163
US

V. Phone/Fax

Practice location:
  • Phone: 910-892-1000
  • Fax:
Mailing address:
  • Phone: 336-529-3235
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: