Basic Information
Provider Information
NPI: 1306229935
EntityType: 2
ReplacementNPI:  
OrganizationName: UNC HEALTH CARE
LastName:  
FirstName:  
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential:  
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
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Mailing Information
Address1: 101 MANNING DR
Address2:  
City: CHAPEL HILL
State: NC
PostalCode: 275144220
CountryCode: US
TelephoneNumber: 9849747936
FaxNumber: 9199663271
Practice Location
Address1: 101 MANNING DR
Address2:  
City: CHAPEL HILL
State: NC
PostalCode: 275144220
CountryCode: US
TelephoneNumber: 9849747936
FaxNumber: 9199663217
Other Information
ProviderEnumerationDate: 07/01/2015
LastUpdateDate: 07/01/2015
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode:  
AuthorizedOfficialLastName: WALKER
AuthorizedOfficialFirstName: FRANCINE
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition: CNM
AuthorizedOfficialTelephone: 9849747936
IsSoleProprietor:  
IsOrganizationSubpart: N
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix: MRS.
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
282N00000XL001898NCY HospitalsGeneral Acute Care Hospital 

No ID Information.


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