| Duke Children's Primary Care | |
|
10211 Alm St Suite 200 Raleigh NC 27617-8221 | |
| (919) 307-0301 | |
| (919) 307-0323 |
| Full Name | Duke Children's Primary Care |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 10211 Alm St, Raleigh, North Carolina |
| Authorized Official Name and Position | James Scott Gibson (EXECUTIVE VICE DEAN ADMINISTRATION) |
| Authorized Official Contact | 9196843945 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Duke Children's Primary Care Po Box 110566 Durham NC 27709-5566 Ph: (919) 620-4855 | Duke Children's Primary Care 10211 Alm St Suite 200 Raleigh NC 27617-8221 Ph: (919) 307-0301 |
| NPI Number | 1477099471 |
|---|---|
| Provider Enumeration Date | 01/13/2017 |
| Last Update Date | 09/12/2023 |
| Certification Date | 09/12/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477099471 | NPI | - | NPPES |
| 1447306113 | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 561029437 (North Carolina) | Primary |
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