Individual
CINDY CHENG-JA SOUTHERLAND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, ANP, GNP
Contact information
Practice address
DUMC BRAIN TUMOR CTR, 047 BAKER HOUSE, TRENT DRIVE, DURHAM, NC 27710-0001
(919) 668-2447
(919) 613-6329
Mailing address
DUMC, 047 BAKER HOUSE, TRENT DRIVE, BOX 3624, DURHAM, NC 27710-0001
(919) 668-2447
(919) 613-6329
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
5004996
NC
Other
Enumeration date
11/24/2010
Last updated
11/06/2012
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