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Organization
TRIANGLE DIAGNOSTIC
Active
Organization
TRIANGLE DIAGNOSTIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BARBARA SULLIVAN (OFFICE MANAGER)
(910) 446-1653
Entity
Organization
Contact information
Practice address
320 N JUDD PKWY NE STE 228, FUQUAY VARINA, NC 27526-2624
(910) 964-4995
(919) 367-3399
Mailing address
320 N JUDD PKWY NE STE 228, FUQUAY VARINA, NC 27526-2624
(910) 964-4995
(919) 367-3399
Taxonomy
Speciality
Code
Description
License number
State
2085D0003X
Diagnostic Neuroimaging (Radiology) Physician
Primary
—
NULL
2085D0003X
Diagnostic Neuroimaging (Radiology) Physician
Primary
—
—
261QS1200X
Sleep Disorder Diagnostic Clinic/Center
—
NULL
Other
Enumeration date
07/07/2020
Last updated
09/09/2020
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