| Durham Family Medicine | |
|
2400 Broad St Ste 1 Durham NC 27704-2661 | |
| (919) 220-9800 | |
| (919) 220-9500 |
| Full Name | Durham Family Medicine |
|---|---|
| Speciality | Family Medicine |
| Location | 2400 Broad St, Durham, North Carolina |
| Authorized Official Name and Position | David K Moye (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 9196140301 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Durham Family Medicine Po Box 63103 Charlotte NC 28263-3103 Ph: (919) 233-5952 | Durham Family Medicine 2400 Broad St Ste 1 Durham NC 27704-2661 Ph: (919) 220-9800 |
| NPI Number | 1437463130 |
|---|---|
| Provider Enumeration Date | 08/05/2010 |
| Last Update Date | 07/16/2021 |
| Certification Date | 07/16/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437463130 | NPI | - | NPPES |
| 5915531 | Medicaid | NC | |
| 023N5 | Other | NC | BCBS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | () | Primary |
| 363A00000X | Physician Assistant | () | Secondary |
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