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Individual

COLLEEN E PRINCE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RD, PA-C

Contact information

Practice address
3326 DURHAM CHAPEL HILL BLVD STE 110B, DURHAM, NC 27707-6241
(984) 219-1562
(984) 219-2366
Mailing address
3326 DURHAM CHAPEL HILL BLVD STE 110B, DURHAM, NC 27707-6241
(984) 219-1562
(984) 219-2366

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
60078721
WA
133V00000X
Registered Dietitian
L003778
NC
363A00000X
Physician Assistant
0010-03826
NC
363AM0700X
Medical Physician Assistant
Primary
0010-03826
NC

Other

Enumeration date
05/28/2009
Last updated
12/31/2023
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