| Select Medical Services Pllc | |
|
10931 Raven Ridge Rd Ste 115 Raleigh NC 27614-6499 | |
| (919) 676-0202 | |
| (919) 676-0224 |
| Full Name | Select Medical Services Pllc |
|---|---|
| Speciality | Family Medicine |
| Location | 10931 Raven Ridge Rd Ste 115, Raleigh, North Carolina |
| Authorized Official Name and Position | Jennifer C Arata (MANAGER) |
| Authorized Official Contact | 9196760202 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Select Medical Services Pllc 10931 Raven Ridge Rd Ste 115 Raleigh NC 27614-6499 Ph: (919) 801-5142 | Select Medical Services Pllc 10931 Raven Ridge Rd Ste 115 Raleigh NC 27614-6499 Ph: (919) 676-0202 |
| NPI Number | 1124501085 |
|---|---|
| Provider Enumeration Date | 09/07/2018 |
| Last Update Date | 03/21/2019 |
| Medicare PECOS PAC ID | 4688912652 |
|---|---|
| Medicare Enrollment ID | O20190218000978 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124501085 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 243501 (North Carolina) | Primary |
| Provider Name | Russell Harrell |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1275571317 PECOS PAC ID: 2860466331 Enrollment ID: I20040820000793 |
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