| Harvardmed Family Practice, Inc | |
|
728 N Raleigh St Angier NC 27501-9134 | |
| (919) 639-0100 | |
| (919) 639-0313 |
| Full Name | Harvardmed Family Practice, Inc |
|---|---|
| Speciality | Family Medicine |
| Location | 728 N Raleigh St, Angier, North Carolina |
| Authorized Official Name and Position | Mariyam A Hussain (OWNER) |
| Authorized Official Contact | 9196390100 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Harvardmed Family Practice, Inc Po Box 1110 Angier NC 27501-1110 Ph: (919) 639-0100 | Harvardmed Family Practice, Inc 728 N Raleigh St Angier NC 27501-9134 Ph: (919) 639-0100 |
| NPI Number | 1295914307 |
|---|---|
| Provider Enumeration Date | 10/25/2007 |
| Last Update Date | 06/06/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295914307 | NPI | - | NPPES |
| 1291W | Other | NC | BCBS PROVIDER # |
| 891291W | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 200101219 (North Carolina) | Primary |
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