Organization
PYB, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WILLIAM A VAN HORN MD (MEDICAL DIRECTOR)
(919) 239-4711
Entity
Organization
Contact information
Practice address
1110 SE CARY PKWY STE 201, CARY, NC 27518-7420
(919) 239-4711
Mailing address
1110 SE CARY PKWY STE 201, CARY, NC 27518-7420
(919) 239-4711
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
2014-00886
NC
2084P0805X
Geriatric Psychiatry Physician
2014-00886
NC
Other
Enumeration date
03/13/2018
Last updated
03/13/2018
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