| Welllife Primary Care | |
|
211 E Six Forks Rd Suite 122 Raleigh NC 27609-7745 | |
| (919) 829-1315 | |
| Not Available |
| Full Name | Welllife Primary Care |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 211 E Six Forks Rd, Raleigh, North Carolina |
| Authorized Official Name and Position | Dwan Kelsey (OWNER) |
| Authorized Official Contact | 9198291315 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Welllife Primary Care 211 E. Six Forks Rd Suite 122 Raleigh NC 27609 Ph: (919) 829-1315 | Welllife Primary Care 211 E Six Forks Rd Suite 122 Raleigh NC 27609-7745 Ph: (919) 829-1315 |
| NPI Number | 1316292907 |
|---|---|
| Provider Enumeration Date | 07/19/2012 |
| Last Update Date | 07/19/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316292907 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 136549 (North Carolina) | Primary |
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