Healthcare Direct, Pllc | |
7200 Creedmoor Rd Ste 102 Raleigh NC 27613-1711 | |
(919) 719-2270 | |
(919) 488-5152 |
Full Name | Healthcare Direct, Pllc |
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Speciality | Family Medicine |
Location | 7200 Creedmoor Rd Ste 102, 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 |
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Healthcare Direct, Pllc 2301 Stonehenge Dr Ste 205 Raleigh NC 27615-4378 Ph: () - | Healthcare Direct, Pllc 7200 Creedmoor Rd Ste 102 Raleigh NC 27613-1711 Ph: (919) 719-2270 |
NPI Number | 1477215358 |
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Provider Enumeration Date | 10/08/2021 |
Last Update Date | 01/20/2025 |
Medicare PECOS PAC ID | 4385039338 |
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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 |
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Provider Type | Practitioner - Sports Medicine |
Provider Identifiers | NPI Number: 1508008574 PECOS PAC ID: 4880837798 Enrollment ID: I20130826000094 |
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