| Carolina Family Practice & Sports Medicine-raleigh | |
|
8300 Health Park Ste. 107 Raleigh NC 27615-4730 | |
| (919) 238-2000 | |
| Not Available |
| Full Name | Carolina Family Practice & Sports Medicine-raleigh |
|---|---|
| Speciality | Family Medicine - Sports Medicine |
| Location | 8300 Health Park, Raleigh, North Carolina |
| Authorized Official Name and Position | Christopher Thomas Frederick (CFO) |
| Authorized Official Contact | 9196137762 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Carolina Family Practice & Sports Medicine-raleigh Po Box 110566 Durham NC 27709-5566 Ph: (919) 620-4855 | Carolina Family Practice & Sports Medicine-raleigh 8300 Health Park Ste. 107 Raleigh NC 27615-4730 Ph: (919) 238-2000 |
| NPI Number | 1538410386 |
|---|---|
| Provider Enumeration Date | 09/19/2012 |
| Last Update Date | 07/11/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538410386 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207QS0010X | Family Medicine - Sports Medicine | (* (Not Available)) | Primary |
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