Blevins, Darryl
Blevins, Darryl is an individual health care provider with primary practice located at 1706 Wayne Memorial Dr , Goldsboro NC 27534-2240. He recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as his primary health care specialty. Blevins, Darryl can be contacted via phone (919) 734-6676.Contact Information
Primary practice address
1706 Wayne Memorial Dr
Goldsboro NC 27534-2240
Phone: (919) 734-6676
Fax: (919) 734-9050
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | 971 | North Carolina |
Profile Details
| NPI number | 1568497253 |
|---|---|
| LBN Legal business name | Blevins, Darryl |
| Credentials | LCAS |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 11th, 2006 |
| Last updated | Jul 8th, 2007 - about 19 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1568497253 | NPPES |
| North Carolina | MEDICAID | 6111841 |
Popular Providers
-
Howery, Cindy
1706 Wayne Memorial Dr , Goldsboro NC 27534-2240 -
Smith, David A.
2307 Norwood Ave Suite C, Goldsboro NC 27534-1601 -
Grant, Sally L
2719 Graves Dr Ste 7 , Goldsboro NC 27534-4536 -
Herring, Michael Wayne
1400 Wayne Memorial Dr Suite A, Goldsboro NC 27534-2256 -
Williams-Cadichon, Edna Earle
901 S Harding Dr Apt B , Goldsboro NC 27534-7424 -
Hubbell, Marlene Young
208 Malloy St Unit E, Goldsboro NC 27534-4478 -
Govantes, Constance J.
1706 Wayne Memorial Dr , Goldsboro NC 27534-2240 -
Barron, Albert Bernard
3300 Cashwell Dr Ste 3 , Goldsboro NC 27534-4492