| NPI | 1649688953 |
|---|---|
| Doing Business As | AVAYA HEALTH SERVICES, LLC - SC |
| Entity Type | Organization |
| Authorized Contact | DWAYNE GRAY CEO/Executive Director 919-454-1672 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302F00000X Exclusive Provider Organization |
| Enumeration Date | 2014-07-30 |
| Last Update Date | 2014-07-30 |