| Wakemed Primary Care - Fuquay-varina Medical Park | |
|
2400 N Main St Fuquay Varina NC 27526-8573 | |
| (919) 350-8000 | |
| Not Available |
| Full Name | Wakemed Primary Care - Fuquay-varina Medical Park |
|---|---|
| Speciality | Family Medicine |
| Location | 2400 N Main St, Fuquay Varina, North Carolina |
| Authorized Official Name and Position | Michael Paul Duffey (EXECUTIVE DIRECTOR FINANCE) |
| Authorized Official Contact | 9193508000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Wakemed Primary Care - Fuquay-varina Medical Park Po Box 602195 Charlotte NC 28260-2195 Ph: (919) 350-0554 | Wakemed Primary Care - Fuquay-varina Medical Park 2400 N Main St Fuquay Varina NC 27526-8573 Ph: (919) 350-8000 |
| NPI Number | 1497526719 |
|---|---|
| Provider Enumeration Date | 01/15/2024 |
| Last Update Date | 01/15/2024 |
| Certification Date | 01/15/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497526719 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (NU) | Primary |
| 207R00000X | Internal Medicine | (NU) | Secondary |
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