Organization · Type 2 NPI

North Carolina Central University

Family Medicine Physician · Durham, NC

NPI number 1437580107 Active

Practice location

200 Cafeteria Drive
Durham, NC 27707

Call (919) 530-6317 Map

Fax (919) 530-7969

Mailing address

1801 Fayetteville Street, Student Health Building
Durham, NC 27707

Specialties and licenses

Taxonomy	Code	License
Family Medicine Physician Primary	207Q00000X	None listed
Health Service Clinic/Center	261QH0100X	None listed
Student Health Clinic/Center	261QS1000X	None listed

Family Medicine Physician: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

3 other providers at this address

Other family medicine physician providers in Durham

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NPI record

NPI: 1437580107
Entity type: Organization (Type 2)
Issued: Dec 6, 2013
Last updated: Jul 5, 2024
Status: Active

Other names

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Nccu Student Health Services · doing business as
North Carolina Central University · other name

Authorized official

Tyrone Little
Insurance Coordinator
(919) 530-5485

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1437580107

North Carolina Central University's National Provider Identifier is 1437580107, issued on Dec 6, 2013. The primary taxonomy on file is Family Medicine Physician (207Q00000X), and the practice location is in Durham, NC. The record was last updated on Jul 5, 2024.