# DIRECT MEDICAL XPERIENCE

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1285341834
- **Authorized official:** DR. DEAUNDRE ALFONZO DYER D.O. (MEDICAL DIRECTOR)
- **Authorized official phone:** (919) 944-9935

## Contact information

- **Practice address:** 4505 FAIR MEADOWS LN STE 215, RALEIGH, NC 27607-6449
- **Practice address phone:** (919) 944-9935
- **Mailing address:** 11845 RETAIL DR \# 1079, WAKE FOREST, NC 27587-7352
- **Mailing address phone:** (919) 944-9935

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QP2300X | Primary Care Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 11/02/2022
- **Last updated:** 11/18/2024