OrganizationActive
Extivita Healthcare PLLC
NPI 1740137413 · Undersea and Hyperbaric Medicine (Preventive Medicine) Physician · Durham, NC
Provider details
- NPI number
- 1740137413
- Entity type
- Organization
- Primary specialty
- Undersea and Hyperbaric Medicine (Preventive Medicine) PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Wes Edwards, Ceo(336) 681-4319
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
2012 Tw Alexander Drive
Durham, NC 27709
Phone: (919) 354-3775
Fax: (919) 354-3776
Approximate (ZIP-level) locationGet directions
Mailing address
2012 Tw Alexander Drive
Durham, NC 27709
Registry dates
- Enumerated
- 2026-03-12
- Last updated
- 2026-03-12
- Certified
- 2026-03-06
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.