Federal Bureau of Prisons

NPI #1750610960 in Butner, North Carolina

Provider Information

NPI Number: 1750610960
Entity Type: Organization
Organization Name: Federal Bureau of Prisons
Subpart: Yes (part of a larger organization)
Parent Organization: FEDERAL BUREAU OF PRISONS
Primary Specialty: Clinic/Center
Enumeration Date: Dec 17, 2009
Last Updated: Dec 17, 2009

Practice Location

Address: OLD HWY 75
City: Butner
State: North Carolina
ZIP Code: 27509
Phone: (919) 575-3900

Authorized Official

Name: DR. CARLOS DUCHESNE, M.D.
Title: CLINICAL DIRECTOR
Phone: (919) 575-3900

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center	261Q00000X	Primary

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