| Premier Health Center | |
|
409 Wake Chapel Rd Fuquay Varina NC 27526-1956 | |
| (919) 567-9001 | |
| (919) 701-0044 |
| Full Name | Premier Health Center |
|---|---|
| Speciality | Internal Medicine |
| Location | 409 Wake Chapel Rd, Fuquay Varina, North Carolina |
| Authorized Official Name and Position | Ahmed Ibn-mahfoudh (PRESIDENT) |
| Authorized Official Contact | 9195679001 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Premier Health Center 708 Rushing Falls Pl Fuquay Varina NC 27526-6975 Ph: (919) 567-9001 | Premier Health Center 409 Wake Chapel Rd Fuquay Varina NC 27526-1956 Ph: (919) 567-9001 |
| NPI Number | 1932323060 |
|---|---|
| Provider Enumeration Date | 04/12/2007 |
| Last Update Date | 02/09/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932323060 | NPI | - | NPPES |
| 89130NY | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 200100393 (North Carolina) | Primary |
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