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Individual

DWIGHT DEAN PERRY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
4102 N ROXBORO ST, DURHAM, NC 27704-2122
(919) 595-2000
(919) 595-2190
Mailing address
4102 N ROXBORO RD, DURHAM, NC 27704
(919) 595-2000

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
28678
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0855501
UNITED HEALTHCARE
NC
01
10313
OPTICARE
NC
01
355036
MAMSI
NC
01
4309810
AETNA
NC
01
56128876721
CIGNA
NC
01
66871
BCBS NC
NC
05
8966871
NC
01
91237
MEDCOST
NC
Enumeration date
08/10/2005
Last updated
10/12/2007
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