Individual
DAVID DOUGLAS WHITFIELD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
114 WOOLRICH DR, KENLY, NC 27542-8085
(919) 300-9169
(919) 284-0005
Mailing address
114 WOOLRICH DR, KENLY, NC 27542-8085
(919) 300-9169
(919) 284-0005
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
03/07/2018
Last updated
07/19/2021
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