Provider Demographics
NPI:1952658007
Name:UNC FERTILITY, LLC
Entity Type:Organization
Organization Name:UNC FERTILITY, LLC
Other - Org Name:UNIVERSITY OF NORTH CAROLINA HEAL
Other - Org Type:Other Name
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:WAYNE
Authorized Official - Last Name:SLEDGE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:919-962-7910
Mailing Address - Street 1:211 FRIDAY CENTER DR STE 2057
Mailing Address - Street 2:
Mailing Address - City:CHAPEL HILL
Mailing Address - State:NC
Mailing Address - Zip Code:27517-9499
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:7920 ACC BLVD
Practice Address - Street 2:STE 300
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27617-8743
Practice Address - Country:US
Practice Address - Phone:919-908-0000
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-08-08
Last Update Date:2018-05-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207VE0102XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyReproductive EndocrinologyGroup - Single Specialty