Individual
DAVIN O NYANGAU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3000 NEW BERN AVE, RALEIGH, NC 27610-1231
(919) 696-1567
Mailing address
100 TRAMWAY CIR, ANGIER, NC 27501-9170
(919) 696-1567
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
0010-10570
NC
363A00000X
Physician Assistant
—
—
363AM0700X
Medical Physician Assistant
—
—
Other
Enumeration date
06/11/2020
Last updated
12/24/2020
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