Organization
TRIUMPH, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAUL CALDWELL (CEO)
(919) 467-2433
Entity
Organization
Contact information
Practice address
118 PEACE ST, NORTH WILKESBORO, NC 28659-4519
(336) 667-1440
Mailing address
2101 GATEWAY CENTRE BLVD, SUITE 100, MORRISVILLE, NC 27560-6214
(919) 467-2433
(919) 467-4903
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6005574
—
NC
Enumeration date
09/12/2006
Last updated
08/22/2020
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