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Mrs. Demetris Devane Mcleod, LRT/CTRS
Military Health Care Provider in Durham, North Carolina
NPI 1740459361

Demetris Devane Mcleod is a Military Health Care Provider based in Durham, NC. Demetris Devane Mcleod practices in Durham, NC and has the professional credentials of LRT/CTRS. The NPI Number for Demetris Devane Mcleod is 1740459361 and holds a License No. 816 (North Carolina).

The current practice location address for Demetris Devane Mcleod is 508 Fulton St # 117C, Durham, NC and can be reached out via phone at 919-286-0411 and via fax at 919-416-5913.

Location: 508 Fulton St # 117C, Durham, NC, 27705-3875
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1740459361
Provider Name
Demetris Devane Mcleod
Credential
LRT/CTRS
Provider Entity Type
Individual
Gender
Female
Address
508 Fulton St # 117C, Durham, NC, 27705-3875
Phone Number
919-286-0411
Fax Number
919-416-5913
Provider Enumeration Date
02/28/2008
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
508 Fulton St # 117C
City
Durham
State
North Carolina
Zip
27705-3875
Phone Number
919-286-0411
Fax Number
919-416-5913
person
Provider Business Mailing Address Details
Address
508 Fulton St # 117C
City
Durham
State
North Carolina
Zip
27705-3875
Phone Number
919-286-0411
Fax Number
919-416-5913
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Military Health Care Provider
Speciality
-
Taxonomy
171000000X
License No.
816 (North Carolina)
Definition
Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes.
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