| Go Hard For Life International | |
|
4404 Deer Knoll Ct Raleigh NC 27603-8589 | |
| (919) 946-4712 | |
| Not Available |
| Full Name | Go Hard For Life International |
|---|---|
| Speciality | Pediatrics |
| Location | 4404 Deer Knoll Ct, Raleigh, North Carolina |
| Authorized Official Name and Position | Melonie Marsh (CO-OWNER) |
| Authorized Official Contact | 9199464712 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Go Hard For Life International 4404 Deer Knoll Ct Raleigh NC 27603-8589 Ph: (919) 946-4712 | Go Hard For Life International 4404 Deer Knoll Ct Raleigh NC 27603-8589 Ph: (919) 946-4712 |
| NPI Number | 1043689565 |
|---|---|
| Provider Enumeration Date | 09/15/2015 |
| Last Update Date | 09/16/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043689565 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | 9901279 (North Carolina) | Secondary |
| 208000000X | Pediatrics | 9901279 (North Carolina) | Primary |
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