Individual
JEANNE GUILLIAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3400 CROASDAILE DR, STE. 201, DURHAM, NC 27705-6815
(919) 382-0150
(919) 382-3390
Mailing address
3400 CROASDAILE DR, STE. 201, DURHAM, NC 27705-6815
(919) 382-0150
(919) 382-3390
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2512
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
13626
BCBS
NC
05
—
7210504
—
NC
Enumeration date
08/21/2006
Last updated
07/08/2007
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