Individual
MARGARET WARDEN MAYTAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4101 N ROXBORO ST, DURHAM, NC 27704-2121
(919) 684-8111
Mailing address
4101 N ROXBORO ST, DURHAM, NC 27704-2121
(919) 684-8111
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
2006-00194
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0-499-807-6
ECFMG
—
Enumeration date
07/23/2006
Last updated
03/07/2023
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