Healthcare Provider Details

I. General information

NPI: 1417924952
Provider Name (Legal Business Name): ABIGAIL GREINER DEVRIES MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/03/2006
Last Update Date: 05/26/2026
Certification Date: 05/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5826 FAYETTEVILLE RD STE 201
DURHAM NC
27713-8684
US

IV. Provider business mailing address

5826 FAYETTEVILLE RD STE 201
DURHAM NC
27713-8684
US

V. Phone/Fax

Practice location:
  • Phone: 982-529-6958
  • Fax: 919-551-7437
Mailing address:
  • Phone: 984-529-6958
  • Fax: 984-266-1243

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number2007-00170
License Number StateNC
# 2
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number235360
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: