Individual
DAVID THOMAS OUTLAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
224 HIGH HOUSE RD, STE 100, CARY, NC 27513-4278
(919) 380-7531
(919) 380-0686
Mailing address
224 HIGH HOUSE RD, STE 100, CARY, NC 27513-4278
(919) 380-7531
(919) 380-0686
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
200000289
NC
208000000X
Pediatrics Physician
200000289
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
89126GW
—
NC
Enumeration date
06/22/2005
Last updated
05/20/2021
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