| Imperial Center Family Medicine And Immediate Care Pllc | |
|
4309 Emperor Blvd Suite 125 Durham NC 27703-8045 | |
| (919) 941-0158 | |
| (919) 474-3130 |
| Full Name | Imperial Center Family Medicine And Immediate Care Pllc |
|---|---|
| Speciality | Family Medicine |
| Location | 4309 Emperor Blvd, Durham, North Carolina |
| Authorized Official Name and Position | Eunice L Strange (ACCOUNT REPRESENTATIVE/BILLING) |
| Authorized Official Contact | 9199410158 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Imperial Center Family Medicine And Immediate Care Pllc 4309 Emperor Blvd Suite 125 Durham NC 27703-8045 Ph: (919) 941-0158 | Imperial Center Family Medicine And Immediate Care Pllc 4309 Emperor Blvd Suite 125 Durham NC 27703-8045 Ph: (919) 941-0158 |
| NPI Number | 1881714707 |
|---|---|
| Provider Enumeration Date | 04/02/2007 |
| Last Update Date | 01/22/2024 |
| Medicare PECOS PAC ID | 2668639618 |
|---|---|
| Medicare Enrollment ID | O20120203000126 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881714707 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Dennis Jacokes |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1922193143 PECOS PAC ID: 4385801331 Enrollment ID: I20120208000014 |
| Provider Name | Richard Torrey |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1144315342 PECOS PAC ID: 1658538608 Enrollment ID: I20120208000020 |
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