Organization
DUKE UNIVERSITY
Active
Other names
Eating Disorders Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES SCOTT GIBSON (EXECUTIVE VICE DEAN ADMINISTRATION)
(919) 684-3945
Entity
Organization
Contact information
Practice address
1000 TRENT DR, DURHAM, NC 27710-0001
(919) 684-8111
Mailing address
PO BOX 110566, DURHAM, NC 27709-5566
(919) 620-4855
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
NC
103T00000X
Psychologist
Primary
—
NC
1041C0700X
Clinical Social Worker
—
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
013X2
BCBS NON PAR
NC
Enumeration date
01/29/2007
Last updated
09/12/2023
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