| Triumph Llc | |
|
5505 Creedmoor Rd Suite 100 Raleigh NC 27612-6333 | |
| (919) 852-5352 | |
| (919) 852-5323 |
| Full Name | Triumph Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 5505 Creedmoor Rd, Raleigh, North Carolina |
| Authorized Official Name and Position | Talesha Rollock (PROVIDER ENROLLMENT SPECIALIST) |
| Authorized Official Contact | 9192560824 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Triumph Llc 3210 Fairhill Dr Raleigh NC 27612-3215 Ph: (919) 256-0824 | Triumph Llc 5505 Creedmoor Rd Suite 100 Raleigh NC 27612-6333 Ph: (919) 852-5352 |
| NPI Number | 1003961269 |
|---|---|
| Provider Enumeration Date | 01/25/2007 |
| Last Update Date | 04/23/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003961269 | NPI | - | NPPES |
| 6005382 | Medicaid | NC |
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