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Organization
EXTIVITA HEALTHCARE PLLC
Active
Organization
EXTIVITA HEALTHCARE PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WES EDWARDS (CEO)
(336) 681-4319
Entity
Organization
Contact information
Practice address
2012 TW ALEXANDER DRIVE, DURHAM, NC 27709
(919) 354-3775
(919) 354-3776
Mailing address
2012 TW ALEXANDER DRIVE, DURHAM, NC 27709
(919) 354-3775
(919) 354-3776
Taxonomy
Speciality
Code
Description
License number
State
2083P0011X
Undersea and Hyperbaric Medicine (Preventive Medicine) Physician
Primary
—
—
Other
Enumeration date
03/12/2026
Last updated
03/12/2026
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