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6905 Knightdale Blvd Suite #106 Knightdale NC 27545-6505 | |
(919) 261-8760 | |
Not Available |
Full Name | |
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Speciality | Family Medicine |
Location | 6905 Knightdale Blvd, Knightdale, North Carolina |
Authorized Official Name and Position | Robert L Gianforcaro (DIRECTOR) |
Authorized Official Contact | 9199230660 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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1600 Perimeter Park Dr Suite #225 Morrisville NC 27560-8421 Ph: () - | 6905 Knightdale Blvd Suite #106 Knightdale NC 27545-6505 Ph: (919) 261-8760 |
NPI Number | 1023397171 |
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Provider Enumeration Date | 08/08/2011 |
Last Update Date | 06/28/2012 |
Identifier | Type | State | Issuer |
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1023397171 | NPI | - | NPPES |
5918712 | Medicaid | NC |