Individual
JENNIFER COLVIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD, PHD
Contact information
Practice address
820 BROAD ST, DURHAM, NC 27705-4138
(919) 794-3919
Mailing address
820 BROAD ST, DURHAM, NC 27705-4138
Taxonomy
Speciality
Code
Description
License number
State
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
127938
NC
Other
Enumeration date
11/25/2014
Last updated
11/25/2014
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