Healthcare Provider Details

I. General information

NPI: 1922928548
Provider Name (Legal Business Name): ENO RIVER FAMILY DPC PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/16/2026
Last Update Date: 07/16/2026
Certification Date: 07/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1002 BROAD ST
DURHAM NC
27705-4144
US

IV. Provider business mailing address

1002 BROAD ST
DURHAM NC
27705-4144
US

V. Phone/Fax

Practice location:
  • Phone: 984-253-1564
  • Fax: 984-363-8732
Mailing address:
  • Phone: 984-253-1564
  • Fax: 984-363-8732

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: HEATHER FAYHEE
Title or Position: FNP
Credential: FNP
Phone: 984-253-1564