| Metro Internal Medicine P.a. | |
|
3320 Executive Dr Ste. 222 Raleigh NC 27609-7445 | |
| (919) 877-1100 | |
| (919) 877-8118 |
| Full Name | Metro Internal Medicine P.a. |
|---|---|
| Speciality | Clinic/Center |
| Location | 3320 Executive Dr, Raleigh, North Carolina |
| Authorized Official Name and Position | Kenneth A Holt (PRESIDENT) |
| Authorized Official Contact | 9198771100 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Metro Internal Medicine P.a. 3320 Executive Dr Ste. 222 Raleigh NC 27609-7445 Ph: (919) 877-1100 | Metro Internal Medicine P.a. 3320 Executive Dr Ste. 222 Raleigh NC 27609-7445 Ph: (919) 877-1100 |
| NPI Number | 1689912792 |
|---|---|
| Provider Enumeration Date | 01/24/2013 |
| Last Update Date | 01/24/2013 |
| Medicare PECOS PAC ID | 3779728035 |
|---|---|
| Medicare Enrollment ID | O20130314000515 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689912792 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 9901643 (North Carolina) | Primary |
| Provider Name | Kenneth A Holt |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1356304588 PECOS PAC ID: 8123040086 Enrollment ID: I20051220000933 |
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