| |
701 Exposition Pl Ste 218 Raleigh NC 27615-3300 | |
(919) 791-2900 | |
(919) 845-2568 |
Full Name | |
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Speciality | Internal Medicine |
Location | 701 Exposition Pl, Raleigh, North Carolina |
Authorized Official Name and Position | David K Moye (EXECUTIVE DIRECTOR) |
Authorized Official Contact | 9198512174 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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5420 Wade Park Blvd Ste 106 Raleigh NC 27607-4188 Ph: (919) 233-5952 | 701 Exposition Pl Ste 218 Raleigh NC 27615-3300 Ph: (919) 791-2900 |
NPI Number | 1073668224 |
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Provider Enumeration Date | 01/25/2007 |
Last Update Date | 02/05/2014 |
Identifier | Type | State | Issuer |
---|---|---|---|
1073668224 | NPI | - | NPPES |
026XT | Other | NC | BCBS |
Taxonomy | Type | License (State) | Status |
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207R00000X | Internal Medicine | (* (Not Available)) | Primary |
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