Individual
DARRELL LEE DEDEAUX
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP-C
Contact information
Practice address
103 COUNTRY CLUB DR, FAYETTEVILLE, NC 28301-7603
(910) 400-7002
Mailing address
PO BOX 746724, ATLANTA, GA 30374-6724
(773) 644-3941
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
5009303
NC
Other
Enumeration date
02/06/2017
Last updated
08/25/2025
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