| St. Joseph Primary Care | |
|
4400 Falls Of Neuse Rd Ste 101 Raleigh NC 27609-6287 | |
| (919) 201-5119 | |
| (919) 386-6867 |
| Full Name | St. Joseph Primary Care |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 4400 Falls Of Neuse Rd Ste 101, Raleigh, North Carolina |
| Authorized Official Name and Position | Peter Le (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 9192015119 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| St. Joseph Primary Care 4400 Falls Of Neuse Rd Ste 101 Raleigh NC 27609-6287 Ph: (919) 201-5119 | St. Joseph Primary Care 4400 Falls Of Neuse Rd Ste 101 Raleigh NC 27609-6287 Ph: (919) 201-5119 |
| NPI Number | 1639821721 |
|---|---|
| Provider Enumeration Date | 01/20/2022 |
| Last Update Date | 01/20/2022 |
| Certification Date | 01/20/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639821721 | NPI | - | NPPES |
| 1982820288 | Other | NC | INDIVIDUAL NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | () | Primary |
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