Individual
DR. VIVIAN DENISE EVERETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1100 NAVAHO DR, SUITE 121, RALEIGH, NC 27609-7319
(919) 845-4620
(919) 846-8126
Mailing address
PO BOX 1689, ETOWAH, NC 28729-1689
(828) 891-5524
(828) 891-4069
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
30019
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8930948
—
NC
Enumeration date
07/11/2006
Last updated
01/13/2010
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