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Individual

DR. TREVOR DOUGLAS VAN DE WATER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
260 ROBESON ST, FAYETTEVILLE, NC 28301-5573
(910) 984-8311
(919) 787-7247
Mailing address
3801 WAKE FOREST RD STE 210, RALEIGH, NC 27609-6864
(919) 787-7246
(919) 787-7247

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
11977
GA
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
2025-01885
NC
207LP2900X
Pain Medicine (Anesthesiology) Physician
D0099403
MD
208100000X
Physical Medicine & Rehabilitation Physician
Primary
2025-01885
NC
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
06/02/2020
Last updated
03/13/2026
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