| Primal Pediatrics Inc | |
|
4940 Windy Hill Dr Ste A Raleigh NC 27609-5278 | |
| (984) 326-5300 | |
| Not Available |
| Full Name | Primal Pediatrics Inc |
|---|---|
| Speciality | Clinic/center |
| Location | 4940 Windy Hill Dr Ste A, Raleigh, North Carolina |
| Authorized Official Name and Position | Michael Lonardo (PRESIDENT) |
| Authorized Official Contact | 9843265300 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Primal Pediatrics Inc 4940 Windy Hill Dr Ste A Raleigh NC 27609-5278 Ph: (984) 326-5300 | Primal Pediatrics Inc 4940 Windy Hill Dr Ste A Raleigh NC 27609-5278 Ph: (984) 326-5300 |
| NPI Number | 1477358133 |
|---|---|
| Provider Enumeration Date | 02/17/2025 |
| Last Update Date | 02/17/2025 |
| Certification Date | 02/17/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477358133 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (NU) | Primary |
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