Provider Demographics
NPI:1386090611
Name:UNC DEPARTMENT OF PSYCHIATRY
Entity type:Organization
Organization Name:UNC DEPARTMENT OF PSYCHIATRY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:TRAINING DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:KARON
Authorized Official - Middle Name:
Authorized Official - Last Name:DAWKINS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:984-974-3881
Mailing Address - Street 1:101 MANNING DR
Mailing Address - Street 2:CAMPUS BOX #7160
Mailing Address - City:CHAPEL HILL
Mailing Address - State:NC
Mailing Address - Zip Code:27599-7160
Mailing Address - Country:US
Mailing Address - Phone:984-974-3881
Mailing Address - Fax:919-966-2220
Practice Address - Street 1:101 MANNING DR
Practice Address - Street 2:CAMPUS BOX #7160
Practice Address - City:CHAPEL HILL
Practice Address - State:NC
Practice Address - Zip Code:27599-7160
Practice Address - Country:US
Practice Address - Phone:984-974-3881
Practice Address - Fax:919-966-2220
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-05-05
Last Update Date:2016-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes273R00000XHospital UnitsPsychiatric Unit