| Capital Primary Medicine And Nutrition Center | |
|
10831 Forest Pines Dr Ste 110 Raleigh NC 27614-8077 | |
| (919) 570-9090 | |
| (919) 570-9043 |
| Full Name | Capital Primary Medicine And Nutrition Center |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 10831 Forest Pines Dr Ste 110, Raleigh, North Carolina |
| Authorized Official Name and Position | Eva M Manitius (PHYSCIAN/OWNER) |
| Authorized Official Contact | 9195709090 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Capital Primary Medicine And Nutrition Center 10831 Forest Pines Dr Ste 110 Raleigh NC 27614-8077 Ph: (919) 570-9090 | Capital Primary Medicine And Nutrition Center 10831 Forest Pines Dr Ste 110 Raleigh NC 27614-8077 Ph: (919) 570-9090 |
| NPI Number | 1487874392 |
|---|---|
| Provider Enumeration Date | 04/26/2007 |
| Last Update Date | 05/26/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487874392 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
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