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Organization
NORTH CAROLINA CENTRAL UNIVERSITY
Active
Organization
NORTH CAROLINA CENTRAL UNIVERSITY
Active
Other names
NCCU STUDENT HEALTH SERVICES, North Carolina Central University
Organization subpart
No
Provider details
NPI number
Authorized official
TYRONE LITTLE (INSURANCE COORDINATOR)
(919) 530-5485
Entity
Organization
Contact information
Practice address
200 CAFETERIA DRIVE, DURHAM, NC 27707
(919) 530-6317
(919) 530-7969
Mailing address
1801 FAYETTEVILLE STREET, STUDENT HEALTH BUILDING, DURHAM, NC 27707
(919) 530-7336
(919) 530-7969
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
261QH0100X
Health Service Clinic/Center
—
NULL
261QS1000X
Student Health Clinic/Center
—
NULL
Other
Enumeration date
12/06/2013
Last updated
07/05/2024
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