Provider Demographics
NPI:1679795686
Name:TWEEDY, DAMON SCOTT (MD)
Entity type:Individual
Prefix:DR
First Name:DAMON
Middle Name:SCOTT
Last Name:TWEEDY
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:5616 KEOWEE WAY
Mailing Address - Street 2:
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27616-3186
Mailing Address - Country:US
Mailing Address - Phone:919-623-3016
Mailing Address - Fax:919-684-2258
Practice Address - Street 1:508 FULTON ST
Practice Address - Street 2:
Practice Address - City:DURHAM
Practice Address - State:NC
Practice Address - Zip Code:27705-3875
Practice Address - Country:US
Practice Address - Phone:919-286-6933
Practice Address - Fax:919-416-5832
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-02
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NC2084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry