Family First Primary Care Pllc | |
3150 Rogers Rd Ste 101 Wake Forest NC 27587-4196 | |
(919) 504-4000 | |
Not Available |
Full Name | Family First Primary Care Pllc |
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Speciality | Family Medicine |
Location | 3150 Rogers Rd Ste 101, Wake Forest, North Carolina |
Authorized Official Name and Position | Robert W Gardner (OWNER/PROVIDER) |
Authorized Official Contact | 9195044000 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Family First Primary Care Pllc 3150 Rogers Rd Ste 101 Wake Forest NC 27587-4196 Ph: (919) 504-4000 | Family First Primary Care Pllc 3150 Rogers Rd Ste 101 Wake Forest NC 27587-4196 Ph: (919) 504-4000 |
NPI Number | 1336526383 |
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Provider Enumeration Date | 04/29/2015 |
Last Update Date | 12/18/2015 |
Medicare PECOS PAC ID | 4082929237 |
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Medicare Enrollment ID | O20150817001731 |
Identifier | Type | State | Issuer |
---|---|---|---|
1336526383 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 200201082 (North Carolina) | Primary |
Provider Name | Grace Tang |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1932243227 PECOS PAC ID: 0547234619 Enrollment ID: I20040909000151 |
Provider Name | Robert W Gardner |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1740375443 PECOS PAC ID: 4486755063 Enrollment ID: I20070726000359 |
Provider Name | Thomas C Curtis |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1932282043 PECOS PAC ID: 9032251855 Enrollment ID: I20100116000216 |
Provider Name | Elizabeth S Taylor |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1952666786 PECOS PAC ID: 5496904583 Enrollment ID: I20140718000285 |
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