| North Raleigh Primary Care | |
|
4905 Green Rd Ste 100 Raleigh NC 27616-2805 | |
| (919) 872-5411 | |
| (919) 872-5904 |
| Full Name | North Raleigh Primary Care |
|---|---|
| Speciality | Family Medicine |
| Location | 4905 Green Rd, Raleigh, North Carolina |
| Authorized Official Name and Position | David K Moye (SENIOR VICE PRESIDENT) |
| Authorized Official Contact | 9198512174 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| North Raleigh Primary Care 5420 Wade Park Blvd Ste 106 Raleigh NC 27607-4188 Ph: (919) 851-2174 | North Raleigh Primary Care 4905 Green Rd Ste 100 Raleigh NC 27616-2805 Ph: (919) 872-5411 |
| NPI Number | 1801848049 |
|---|---|
| Provider Enumeration Date | 05/16/2006 |
| Last Update Date | 03/05/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801848049 | NPI | - | NPPES |
| 0237V | Other | NC | BCBS |
| 5900361 | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (NU) | Primary |
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