Whalio Doctors

NPI 1063690246

Diverse Family Services

Organisation Exclusive Provider Organization Durham, NC

Practice location

Address
3020 Pickett Rd Suite 135, Durham, NC 27705-6000
Phone
(919) 544-5871

Authorised official

Name
Kristin Millisent Jones
Title
Co-Owner/Qualified Professional
Phone
(919) 544-5871

Registered specialties

Exclusive Provider Organization Primary
Managed Care Organizations Taxonomy 302F00000X Licence 302E00000X (NC)

Registry record

NPI
1063690246
Entity type
Organization
NPI issued
9 Feb 2008
Record last updated
9 Apr 2008

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.