Healthcare Provider Details

I. General information

NPI: 1437500568
Provider Name (Legal Business Name): DUKE UNIVERSITY HEALTH SYSTEM, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/30/2016
Last Update Date: 09/12/2023
Certification Date: 09/12/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4101 MACON POND RD
RALEIGH NC
27607-6319
US

IV. Provider business mailing address

PO BOX 110566
DURHAM NC
27709-5566
US

V. Phone/Fax

Practice location:
  • Phone: 919-782-8200
  • Fax: 919-781-0440
Mailing address:
  • Phone: 919-620-4855
  • Fax: 919-620-4921

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208600000X
TaxonomySurgery Physician
License Number
License Number State

VIII. Authorized Official

Name: JOHN STUART SMITH
Title or Position: ASSOCIATE VP DUHS
Credential:
Phone: 919-613-8995