| Leesville Internal Medicine | |
|
5816 Creedmoor Rd Ste 105 Raleigh NC 27612-2310 | |
| (919) 881-0691 | |
| (919) 881-0692 |
| Full Name | Leesville Internal Medicine |
|---|---|
| Speciality | Internal Medicine |
| Location | 5816 Creedmoor Rd, Raleigh, North Carolina |
| Authorized Official Name and Position | David Moye (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 9198512174 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Leesville Internal Medicine 5420 Wade Park Blvd Ste 106 Raleigh NC 27607-4188 Ph: (919) 233-5952 | Leesville Internal Medicine 5816 Creedmoor Rd Ste 105 Raleigh NC 27612-2310 Ph: (919) 881-0691 |
| NPI Number | 1023413523 |
|---|---|
| Provider Enumeration Date | 10/27/2014 |
| Last Update Date | 10/27/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023413523 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
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