| |
5015 Southpark Dr Ste 110 Durham NC 27713-7736 | |
(984) 219-1562 | |
(984) 219-2366 |
Full Name | |
---|---|
Speciality | Family Medicine |
Location | 5015 Southpark Dr Ste 110, Durham, North Carolina |
Authorized Official Name and Position | David Moye (EXECUTIVE DIRECTOR) |
Authorized Official Contact | 9196140301 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Po Box 63103 Charlotte NC 28263-3103 Ph: (919) 233-5952 | 5015 Southpark Dr Ste 110 Durham NC 27713-7736 Ph: (984) 219-1562 |
NPI Number | 1952820128 |
---|---|
Provider Enumeration Date | 09/19/2017 |
Last Update Date | 07/16/2021 |
Identifier | Type | State | Issuer |
---|---|---|---|
1952820128 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
363A00000X | Physician Assistant | (* (Not Available)) | Secondary |
Triangle Geriatrics & Palliative Medicine, Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1010 Rosehill Ave, Durham, NC 27705 Phone: 540-447-6614 | |
American Current Care Of North Carolina Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4104 Surles Court, Suite 11, Durham, NC 27703 Phone: 919-941-1911 Fax: 919-941-1901 | |
Shae Medical, Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 5306 Nc Highway 55, Suite 105, Durham, NC 27713 Phone: 919-646-4858 Fax: 919-679-7112 |