Organization
AVAYA HEALTH SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DWAYNE D GRAY MS (OWNER/CEO)
(919) 454-1672
Entity
Organization
Contact information
Practice address
6409 FAYETTEVILLE RD, SUITE 120-302, DURHAM, NC 27713-6297
(919) 454-1672
(919) 381-4910
Mailing address
6409 FAYETTEVILLE RD, SUITE 120-302, DURHAM, NC 27713-6297
(919) 454-1672
(919) 381-4910
Taxonomy
Speciality
Code
Description
License number
State
302F00000X
Exclusive Provider Organization
Primary
—
—
Other
Enumeration date
04/16/2012
Last updated
04/16/2012
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