| Centerwell Senior Primary Care Nc Jv Pc | |
|
1408 Garner Station Blvd Raleigh NC 27603-3600 | |
| (984) 283-1720 | |
| Not Available |
| Full Name | Centerwell Senior Primary Care Nc Jv Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 1408 Garner Station Blvd, Raleigh, North Carolina |
| Authorized Official Name and Position | Angie Martinez (SENIOR CREDENTIALING PROFESSIONAL) |
| Authorized Official Contact | 4074477120 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Centerwell Senior Primary Care Nc Jv Pc 4700 Millenia Blvd Ste 650 Orlando FL 32839-6013 Ph: (407) 447-7120 | Centerwell Senior Primary Care Nc Jv Pc 1408 Garner Station Blvd Raleigh NC 27603-3600 Ph: (984) 283-1720 |
| NPI Number | 1255045795 |
|---|---|
| Provider Enumeration Date | 01/10/2023 |
| Last Update Date | 01/10/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255045795 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| 208D00000X | General Practice | (* (Not Available)) | Secondary |
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