| Creedmoor Centre Endocrinology Pa | |
|
8340 Bandford Way Suite 001 Raleigh NC 27615-2755 | |
| (919) 845-3332 | |
| (919) 845-3395 |
| Full Name | Creedmoor Centre Endocrinology Pa |
|---|---|
| Speciality | Internal Medicine |
| Location | 8340 Bandford Way, Raleigh, North Carolina |
| Authorized Official Name and Position | Julia G Warren-ulanch (OWNER) |
| Authorized Official Contact | 9198453332 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Creedmoor Centre Endocrinology Pa 8340 Bandford Way Suite 001 Raleigh NC 27615-2755 Ph: (919) 845-3332 | Creedmoor Centre Endocrinology Pa 8340 Bandford Way Suite 001 Raleigh NC 27615-2755 Ph: (919) 845-3332 |
| NPI Number | 1841627692 |
|---|---|
| Provider Enumeration Date | 10/10/2013 |
| Last Update Date | 08/07/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841627692 | NPI | - | NPPES |
| 5905118 | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 2006-01609 (North Carolina) | Primary |
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