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Organization

TRIUMPH LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
HAROLD E JONES (MEMBER MGR. /OWNER)
(919) 256-0824
Entity
Organization

Contact information

Practice address
725 N HIGHLAND AVE, 2ND FLOOR, WINSTON SALEM, NC 27101-4206
(336) 607-8501
(336) 725-4030
Mailing address
3210 FAIRHILL DR, RALEIGH, NC 27612-3215
(919) 256-0824
(919) 256-0833

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
5903200
NC
Enumeration date
01/25/2007
Last updated
04/24/2009
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