Organization
AVAYA HEALTH SERVICES, LLC
Active
Other names
Avaya Health Services, LLC - SC
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DWAYNE GRAY (CEO/EXECUTIVE DIRECTOR)
(919) 454-1672
Entity
Organization
Contact information
Practice address
4921 ALBEMARLE RD, SUITE 111, CHARLOTTE, NC 28205-6654
(919) 454-1672
Mailing address
6409 FAYETTEVILLE RD, SUITE 120-302, DURHAM, NC 27713-6297
(919) 454-1672
Taxonomy
Speciality
Code
Description
License number
State
302F00000X
Exclusive Provider Organization
Primary
—
—
Other
Enumeration date
07/30/2014
Last updated
07/30/2014
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