Organization
UNIVERSITY OF NORTH CAROLINA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DEAN H CROWELL ATC, LAT (CERTIFIED ATHLETIC TRAINER)
(919) 962-8519
Entity
Organization
Contact information
Practice address
101 MANNING DR, CAMPUS HEALTH SERVICE, CHAPEL HILL, NC 27514-4220
(919) 966-6548
Mailing address
710 SPRING MEADOW DR, DURHAM, NC 27713-7196
(919) 966-6548
Taxonomy
Speciality
Code
Description
License number
State
261QS1000X
Student Health Clinic/Center
Primary
0307
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0307
STATE LICENSURE
NC
Enumeration date
10/09/2006
Last updated
08/22/2020
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