Healthcare Provider Details

I. General information

NPI: 1912055609
Provider Name (Legal Business Name): DEBORAH RUTH NORTON M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/08/2007
Last Update Date: 08/05/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10 SUNNYBROOK RD WOMEN'S HEALTH CLINIC - CLINIC F
RALEIGH NC
27610-1808
US

IV. Provider business mailing address

10 SUNNYBROOK ROAD WOMEN'S HEALTH CLINIC - CLINIC F
RALEIGH NC
27620-4049
US

V. Phone/Fax

Practice location:
  • Phone: 919-250-3920
  • Fax: 919-212-0475
Mailing address:
  • Phone: 919-250-3920
  • Fax: 919-212-0475

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number33111
License Number StateNC
# 2
Primary TaxonomyN
Taxonomy Code2083P0901X
TaxonomyPublic Health & General Preventive Medicine Physician
License Number33111
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: