Demetris Devane Mcleod in Durham - Military Health Care Provider
Demetris Devane Mcleod - NPI 1740459361
Demetris Devane Mcleod is a Military Health Care Provider in Durham, North Carolina. Demetris Devane Mcleod practices all healthcare services and medical treatments related to Military Health Care Provider. The NPI Number for Demetris Devane Mcleod is 1740459361. The last update date is 2008-02-28.
Demetris Devane Mcleod's current location address is 508 Fulton St # 117c, Durham, North Carolina. You can contact this provider via phone number 9192860411 and fax number 9194165913. The mailing address for Demetris Devane Mcleod is 508 Fulton St # 117c, Durham, North Carolina. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Demetris Devane Mcleod |
|---|---|
| Address | 508 Fulton St # 117c, Durham, North Carolina |
| Phone Number | 9192860411 |
| Fax Number | 9194165913 |
| Sole Proprietor | N |
| Credentials | LRT/CTRS |
NPI Number Detail
| NPI Number | 1740459361 |
|---|---|
| Provider Enumeration Date | 2008-02-28 |
| Last Updated Date | 2008-02-28 |
Provider Mailing Address Detail
| Address | 508 Fulton St # 117c |
|---|---|
| City | Durham |
| State | North Carolina (NC) |
| Post Code | 277053875 |
| Phone Number | 9192860411 |
| Fax Number | 9194165913 |
Provider's Primary Taxonomy Detail
| Speciality | Military Health Care Provider |
|---|---|
| Taxonomy | 171000000X |
| Licence No | 816 |
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Definition: Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes. |
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What is the unique identification code assigned to Demetris Devane Mcleod by the Centers for Medicare & Medicaid Services?
The Demetris Devane Mcleod has been issued the NPI (National Provider Identifier) 1740459361. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Where is the Demetris Devane Mcleod located?
The Demetris Devane Mcleod is located at 508 Fulton St # 117C, Durham, NC 277053875.
What is Demetris Devane Mcleod's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Demetris Devane Mcleod's specialized field of practice is Military Health Care Provider, and the corresponding taxonomy code that categorizes this area of specialization is 171000000X.
When was the Demetris Devane Mcleod's 1740459361 issued?
The Demetris Devane Mcleod's 1740459361 was issued on 2008-02-28.
As of what date were the details related to Demetris Devane Mcleod most recently updated or revised?
The information pertaining to Demetris Devane Mcleod, including its address, specialty, and other relevant details, was last updated or revised on 2008-02-28.
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