| Willow Family Medical Center | |
|
3434 Edwards Mill Rd Ste 112 Pmb 348 Raleigh NC 27612-4276 | |
| (919) 806-8686 | |
| (919) 787-2176 |
| Full Name | Willow Family Medical Center |
|---|---|
| Speciality | Family Medicine |
| Location | 3434 Edwards Mill Rd Ste 112 Pmb 348, Raleigh, North Carolina |
| Authorized Official Name and Position | Denise D Tollefson (PRESIDENT) |
| Authorized Official Contact | 9198068686 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Willow Family Medical Center 3434 Edwards Mill Rd Ste 112 Pmb 348 Raleigh NC 27612-4276 Ph: (919) 806-8686 | Willow Family Medical Center 3434 Edwards Mill Rd Ste 112 Pmb 348 Raleigh NC 27612-4276 Ph: (919) 806-8686 |
| NPI Number | 1861534778 |
|---|---|
| Provider Enumeration Date | 02/14/2007 |
| Last Update Date | 09/10/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861534778 | NPI | - | NPPES |
| 02150 | Other | NC | BCBS GROUP |
| 2242750 | Other | NC | UNITED HEALTHCARE |
| 39308 | Other | NC | WELLPATH COVENTRY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (North Carolina) | Primary |
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