Healthcare Provider Details

I. General information

NPI: 1851559009
Provider Name (Legal Business Name): DUKE UNIVERSITY MEDICAL CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/23/2008
Last Update Date: 05/23/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

DUKE UNIVERSITY MEDICAL CTR DUMC BOX 3046
DURHAM NC
27710-0001
US

IV. Provider business mailing address

DUKE UNIVERSITY MEDICAL CTR DUMC BOX 3046
DURHAM NC
27710-0001
US

V. Phone/Fax

Practice location:
  • Phone: 919-681-3550
  • Fax: 919-681-8357
Mailing address:
  • Phone: 919-681-3550
  • Fax: 919-681-8357

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code282NC2000X
TaxonomyChildren's Hospital
License Number139977
License Number StateNC

VIII. Authorized Official

Name: SHARI A WHICKER
Title or Position: EDUCATION ADMINISTRATOR
Credential: MED
Phone: 919-684-6425