Healthcare Provider Details

I. General information

NPI: 1437787074
Provider Name (Legal Business Name): JOHN PRESTON CLAIBORNE MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/30/2020
Last Update Date: 07/31/2026
Certification Date: 07/31/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2400 PRATT ST
DURHAM NC
27705-3976
US

IV. Provider business mailing address

2400 PRATT ST
DURHAM NC
27705-3976
US

V. Phone/Fax

Practice location:
  • Phone: 919-684-3495
  • Fax:
Mailing address:
  • Phone: 919-684-3495
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RX0202X
TaxonomyMedical Oncology Physician
License Number2026-01525
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: