# EXTIVITA HEALTHCARE PLLC

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

## Provider details

- **NPI number:** 1740137413
- **Authorized official:** WES EDWARDS (CEO)
- **Authorized official phone:** (336) 681-4319

## Contact information

- **Practice address:** 2012 TW ALEXANDER DRIVE, DURHAM, NC 27709
- **Practice address phone:** (919) 354-3775
- **Practice address fax:** (919) 354-3776
- **Mailing address:** 2012 TW ALEXANDER DRIVE, DURHAM, NC 27709
- **Mailing address phone:** (919) 354-3775
- **Mailing address fax:** (919) 354-3776

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2083P0011X | Undersea and Hyperbaric Medicine (Preventive Medicine) Physician | — | — | Yes |

## Other

- **Enumeration date:** 03/12/2026
- **Last updated:** 03/12/2026