| Iter Evigilans PLLC | |
|
4242 Six Forks Rd Raleigh NC 27609-6084 | |
| (205) 493-0145 | |
| (919) 756-6667 |
| Full Name | Iter Evigilans PLLC |
|---|---|
| Speciality | Family Medicine |
| Location | 4242 Six Forks Rd, Raleigh, North Carolina |
| Authorized Official Name and Position | Aqua Burrell (OFFICE MANAGER) |
| Authorized Official Contact | 2522587192 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Iter Evigilans PLLC 355 Parlier Dr Cary NC 27519-8964 Ph: (205) 493-0145 | Iter Evigilans PLLC 4242 Six Forks Rd Raleigh NC 27609-6084 Ph: (205) 493-0145 |
| NPI Number | 1437029196 |
|---|---|
| Provider Enumeration Date | 11/07/2025 |
| Last Update Date | 05/12/2026 |
| Certification Date | 05/12/2026 |
| Medicare PECOS PAC ID | 9335617422 |
|---|---|
| Medicare Enrollment ID | O20260507000137 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437029196 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (NU) | Primary |
| Provider Name | Charles Obiaja |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1881804268 PECOS PAC ID: 6204995194 Enrollment ID: I20081106000700 |
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