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Darrell Lee Dedeaux, NP-C
Primary Care Nurse Practitioner in Winston Salem, North Carolina
NPI 1023556461

Darrell Lee Dedeaux is a Primary Care Nurse Practitioner based in Buies Creek, NC and is specialized in Primary Care. Darrell Lee Dedeaux practices in Winston Salem, NC and has the professional credentials of NP-C. The NPI Number for Darrell Lee Dedeaux is 1023556461 and holds a License No. 116077 (North Carolina).

The current practice location address for Darrell Lee Dedeaux is 380 Knollwood St # 505, Winston Salem, NC and can be reached out via phone at 833-357-2966.

Location: 380 Knollwood St # 505, Winston Salem, NC, 27506
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1023556461
Provider Name
Darrell Lee Dedeaux
Credential
NP-C
Provider Entity Type
Individual
Gender
Male
Address
380 Knollwood St # 505, Winston Salem, NC, 27506
Phone Number
833-357-2966
Fax Number
Provider Enumeration Date
02/06/2017
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
380 Knollwood St # 505
City
Winston Salem
State
North Carolina
Zip
27103-1884
Phone Number
833-357-2966
Fax Number
person
Provider Business Mailing Address Details
Address
380 Knollwood St # 505
City
Winston Salem
State
North Carolina
Zip
27103-1884
Phone Number
833-357-2966
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Primary Care
Taxonomy
363LP2300X
License No.
116077 (North Carolina)
Definition
Definition to come...
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