NPI 1609133693

Avaya Health Services, LLC

Organisation Exclusive Provider Organization Durham, NC

Practice location

Address: 6409 Fayetteville Rd Suite 120-302, Durham, NC 27713-6297
Phone: (919) 454-1672
Fax: (919) 381-4910

Authorised official

Name: Dwayne D Gray
Title: Owner/Ceo
Phone: (919) 454-1672

Registered specialties

Exclusive Provider Organization Primary

Managed Care Organizations Taxonomy 302F00000X

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Registry record

NPI: 1609133693
Entity type: Organization
NPI issued: 16 Apr 2012
Record last updated: 16 Apr 2012

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.