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3480 Wake Forest Rd Suite 500 Raleigh NC 27609-7317 | |
(919) 684-8111 | |
Not Available |
Full Name | |
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Speciality | Internal Medicine - Gastroenterology |
Location | 3480 Wake Forest Rd, 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 |
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Po Box 110566 Durham NC 27709-5566 Ph: (919) 620-4855 | 3480 Wake Forest Rd Suite 500 Raleigh NC 27609-7317 Ph: (919) 684-8111 |
NPI Number | 1366643124 |
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Provider Enumeration Date | 05/30/2007 |
Last Update Date | 05/18/2022 |
Identifier | Type | State | Issuer |
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1366643124 | NPI | - | NPPES |
230575 | Other | NC | MEDICARE GROUP # |
Taxonomy | Type | License (State) | Status |
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207RG0100X | Internal Medicine - Gastroenterology | (North Carolina) | Primary |
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