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Individual

DR. KUMARI DANIEL VERGHESE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
521 N BRIGHTLEAF BLVD, JOHNSTON COUNTY MENTAL HEALTH CENTER, SMITHFIELD, NC 27577-4407
(919) 989-5500
(919) 989-5532
Mailing address
PO BOX 411, JOHNSTON COUNTY MENTAL HEALTH CENTER, SMITHFIELD, NC 27577-0411
(919) 989-5500
(919) 989-5532

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
24819
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
84991
BCBS- PPO
05
8984991
NC
Enumeration date
08/30/2006
Last updated
12/04/2007
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