Dedeaux, Darrell Lee
Dedeaux, Darrell Lee is an individual health care provider with primary practice located at 380 Knollwood St # 505 , Winston Salem NC 27103-1884. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Primary Care, which is considered as his primary health care specialty. Dedeaux, Darrell Lee can be contacted via phone (833) 357-2966.Contact Information
Primary practice address
380 Knollwood St # 505
Winston Salem NC 27103-1884
Phone: (833) 357-2966
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Primary Care | 363LP2300X | 116077 | North Carolina |
Profile Details
| NPI number | 1023556461 |
|---|---|
| LBN Legal business name | Dedeaux, Darrell Lee |
| Credentials | NP-C |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 6th, 2017 |
| Last updated | Oct 25th, 2019 - about 5 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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