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Individual

TERRY WHITEHEAD

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
1215 PLEXOR LN, KNIGHTDALE, NC 27545-7279
(919) 802-5900
Mailing address
1215 PLEXOR LN, KNIGHTDALE, NC 27545-7279
(919) 802-5900

Taxonomy

Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
809861
NY

Other

Enumeration date
04/16/2021
Last updated
04/16/2021
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