Individual
MR. CLAUDE P DUFOUR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PAC
Contact information
Practice address
823 JEFFERSON ST, WHITEVILLE, NC 28472
(910) 642-6121
(910) 642-8457
Mailing address
PO BOX 1528, WHITEVILLE, NC 28472-1528
(910) 642-6121
(910) 642-8457
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
100591
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0120143
UNITED HEALTH CARE
NC
01
—
110017485
RR MCR
NC
01
—
82478
BLUE CROSS OF NC
NC
05
—
8982478
—
NC
01
—
N20979
SC MCD
SC
Enumeration date
01/17/2007
Last updated
11/09/2009
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