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4020 N Roxboro St Ste 100 Durham NC 27704-2120 | |
(919) 220-3333 | |
(919) 220-6317 |
Full Name | |
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Speciality | Family Medicine |
Location | 4020 N Roxboro St Ste 100, Durham, North Carolina |
Authorized Official Name and Position | David K Moye (EXECTIVE DIRECTOR) |
Authorized Official Contact | 9196140301 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Po Box 63103 Charlotte NC 28263-3103 Ph: (919) 233-5952 | 4020 N Roxboro St Ste 100 Durham NC 27704-2120 Ph: (919) 220-3333 |
NPI Number | 1649221342 |
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Provider Enumeration Date | 05/15/2006 |
Last Update Date | 09/04/2024 |
Identifier | Type | State | Issuer |
---|---|---|---|
1649221342 | NPI | - | NPPES |
01995 | Other | NC | BCBS |
5900353 | Medicaid | NC |
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