| Healthcare Direct, Pllc | |
|
2301 Stonehenge Dr Ste 205 Raleigh NC 27615-4378 | |
| (919) 526-0015 | |
| Not Available |
| Full Name | Healthcare Direct, Pllc |
|---|---|
| Speciality | Family Medicine |
| Location | 2301 Stonehenge Dr Ste 205, Raleigh, North Carolina |
| Authorized Official Name and Position | Matthew Kanaan (MANAGER) |
| Authorized Official Contact | 9197915583 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Healthcare Direct, Pllc 2301 Stonehenge Dr Ste 205 Raleigh NC 27615-4378 Ph: () - | Healthcare Direct, Pllc 2301 Stonehenge Dr Ste 205 Raleigh NC 27615-4378 Ph: (919) 526-0015 |
| NPI Number | 1477215358 |
|---|---|
| Provider Enumeration Date | 10/08/2021 |
| Last Update Date | 09/22/2023 |
| Medicare PECOS PAC ID | 4385039338 |
|---|---|
| Medicare Enrollment ID | O20220310000240 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477215358 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207QS0010X | Family Medicine - Sports Medicine | (* (Not Available)) | Primary |
| Provider Name | Matthew G Kanaan |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1508008574 PECOS PAC ID: 4880837798 Enrollment ID: I20130826000094 |
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