| Durham Family Practice | |
|
2400 Broad St Suite 1 Durham NC 27704-3006 | |
| (919) 220-9800 | |
| Not Available |
| Full Name | Durham Family Practice |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 2400 Broad St, Durham, North Carolina |
| Authorized Official Name and Position | Keith Gran (COO) |
| Authorized Official Contact | 9198434810 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Durham Family Practice 143 W Franklin St Chapel Hill NC 27516-2539 Ph: (919) 843-4810 | Durham Family Practice 2400 Broad St Suite 1 Durham NC 27704-3006 Ph: (919) 220-9800 |
| NPI Number | 1679591549 |
|---|---|
| Provider Enumeration Date | 07/18/2006 |
| Last Update Date | 05/01/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679591549 | NPI | - | NPPES |
| 790283L | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
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