Organization
DURHAM EMERGENCY PHYSICIANS, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RACHEL MITCHELL (BILLING/CODING DIRECTOR)
(919) 477-5152
Entity
Organization
Contact information
Practice address
3643 N ROXBORO ST, DURHAM, NC 27704-2702
(919) 477-5345
(919) 477-5474
Mailing address
PO BOX 15386, DURHAM, NC 27704-0386
(919) 477-5345
(919) 477-5474
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
07615
BLUE CROSS BLUE SHIELD
NC
05
—
6907615
—
NC
01
—
CC1967
MEDICARE RAILROAD
NC
Enumeration date
03/23/2006
Last updated
12/12/2008
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