Organization
UNIVERSTIY OF NORTH CAROLINA AT CHAPEL HILL
Active
Other names
Durham Family Practice
Organization subpart
No
Provider details
NPI number
Authorized official
KEITH GRAN (COO)
(919) 843-4810
Entity
Organization
Contact information
Practice address
2400 BROAD ST, SUITE 1, DURHAM, NC 27704-3006
(919) 220-9800
Mailing address
143 W FRANKLIN ST, CHAPEL HILL, NC 27516-2539
(919) 843-4810
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
790283L
—
NC
Enumeration date
07/18/2006
Last updated
05/01/2008
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