Individual
DR. DAVID FRED COLVARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1213 GRANADA DR, RALEIGH, NC 27612-5108
(919) 782-1761
Mailing address
1213 GRANADA DR, RALEIGH, NC 27612-5108
(919) 782-1761
(919) 782-1761
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
24235
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
23831
BCBSNC PROVIDER NUMBER
NC
Enumeration date
11/08/2005
Last updated
07/21/2022
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