Individual
DR. DANIELLE ADRIANA DUPONT WYANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
4111 BEN FRANKLIN BLVD, DURHAM, NC 27704-2141
(919) 719-8834
(919) 582-0528
Mailing address
1540 SUNDAY DR, RALEIGH, NC 27607-6010
(919) 782-3456
(919) 783-1441
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
127874
NC
2084N0402X
Neurology with Special Qualifications in Child Neurology Physician
Primary
2008-127874
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5909906
—
NC
Enumeration date
02/21/2008
Last updated
12/11/2012
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