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Organization

TRIUMPH LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
HAROLD E JONES JR. (MEMBER MGR./OWNER)
(919) 256-0824
Entity
Organization

Contact information

Practice address
355 S MADISON BLVD, STE. C2, ROXBORO, NC 27573-5485
(336) 597-2065
(336) 597-2116
Mailing address
3210 FAIRHILL DR, RALEIGH, NC 27612-3215
(919) 256-0824
(919) 256-0833

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
NC

Other

Enumeration date
09/30/2010
Last updated
09/30/2010
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