DARRELL LEE DEDEAUX

FAYETTEVILLE, NC
NPI1023556461
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363LP2300X Nurse Practitioner, Primary Care
(Licence: NC  5009303)
Enumeration Date2017-02-06
Last Update Date2025-08-25
Business Address
DARRELL LEE DEDEAUX NP-C
103 COUNTRY CLUB DR
FAYETTEVILLE, NC 28301-7603
Phone number: 910-400-7002
Mailing Address
DARRELL LEE DEDEAUX NP-C
PO BOX 746724
ATLANTA, GA 30374-6724
Phone number: 773-644-3941