| Vistar Medical Clinic Pa | |
|
1004 Bullard Ct Suite 101 Raleigh NC 27615-6853 | |
| (919) 255-3511 | |
| (888) 249-0062 |
| Full Name | Vistar Medical Clinic Pa |
|---|---|
| Speciality | Internal Medicine |
| Location | 1004 Bullard Ct, Raleigh, North Carolina |
| Authorized Official Name and Position | Maximus Eziudo Onuoha (CHAIRMAN & CEO) |
| Authorized Official Contact | 9192553511 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Vistar Medical Clinic Pa Po Box 40028 Raleigh NC 27629-0028 Ph: (919) 255-3511 | Vistar Medical Clinic Pa 1004 Bullard Ct Suite 101 Raleigh NC 27615-6853 Ph: (919) 255-3511 |
| NPI Number | 1730260134 |
|---|---|
| Provider Enumeration Date | 10/18/2006 |
| Last Update Date | 02/13/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730260134 | NPI | - | NPPES |
| 5950436 | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 94-00118 (North Carolina) | Primary |
Alignment Healthcare Medical Associates Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1540 Sunday Dr Ste 214, Raleigh, NC 27607 Phone: 919-803-4820 Fax: 919-803-4821 | |
Essential Health & Wellness Raleigh Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2011 Falls Valley Dr Ste 111, Raleigh, NC 27615 Phone: 919-208-2314 | |
St. Augustine University Careplex Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1315 Oakwood Ave, Raleigh, NC 27610 Phone: 919-833-3111 | |
Biobility Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 184 Wind Chime Ct Ste 103, Raleigh, NC 27615 Phone: 843-898-3309 Fax: 919-322-3796 | |
Tlc Laser Eye Centers Carolina Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 10321 Lumley Rd, Ste 101, Raleigh, NC 27617 Phone: 919-544-8581 | |
Wakefield Pediatrics & Adolescent Medicine,p.a. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 14341 New Falls Of Neuse, Suite 122, Raleigh, NC 27614 Phone: 919-570-7010 Fax: 919-570-7020 | |
Brier Creek Orthodontics Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 10411 Moncreiffe Rd, Suite 105a, Raleigh, NC 27617 Phone: 919-544-9700 Fax: 919-544-9002 |