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Individual

DR. MARIE GEORGETTE DEBNAM

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
524 S BLOUNT ST, RALEIGH, NC 27601-1828
(919) 832-1667
(919) 832-0393
Mailing address
524 S BLOUNT ST, RALEIGH, NC 27601-1828
(919) 832-1667
(919) 832-0393

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
9501217
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
8928064
NC
Enumeration date
03/05/2007
Last updated
01/17/2008
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