Individual
DR. CORY D MAXWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5213 S ALSTON AVE, DURHAM, NC 27713-4430
(919) 684-8111
Mailing address
2100 ERWIN RD, DURHAM, NC 27710-0136
(919) 684-8111
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
2013-00884
NC
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/14/2009
Last updated
05/06/2014
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