W E B Dubois Cdc
NPI #1649369174 in Wake Forest, North Carolina
Provider Information
- NPI Number
- 1649369174
- Entity Type
- Organization
- Organization Name
- W E B Dubois Cdc
- Primary Specialty
- Community/Behavioral Health
- Enumeration Date
- Oct 12, 2006
- Last Updated
- Aug 13, 2007
Practice Location
- Address
- 150A NORTH WHITE STREET
- City
- Wake Forest
- State
- North Carolina
- ZIP Code
- 27587-2600
- Phone
- (919) 556-0709
Authorized Official
- Name
- ALICE M WILLIAMS
- Title
- CREDENTIALING COORDINATOR
- Phone
- (252) 915-0122
Specialties & Taxonomy Codes
| Specialty |
|---|
| Community/Behavioral Health |
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