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2301 Rexwoods Dr Suite 118 Raleigh NC 27607-3366 | |
(919) 803-1417 | |
(919) 803-1418 |
Full Name | |
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Speciality | Internal Medicine - Gastroenterology |
Location | 2301 Rexwoods Dr, Raleigh, North Carolina |
Authorized Official Name and Position | John V. Yacono (PRESIDENT) |
Authorized Official Contact | 9198767200 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Po Box 99279 Raleigh NC 27624-9279 Ph: (919) 803-1417 | 2301 Rexwoods Dr Suite 118 Raleigh NC 27607-3366 Ph: (919) 803-1417 |
NPI Number | 1164559795 |
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Provider Enumeration Date | 02/28/2007 |
Last Update Date | 01/23/2016 |
Identifier | Type | State | Issuer |
---|---|---|---|
1164559795 | NPI | - | NPPES |
0286L | Other | NC | BLUE CROSS BLUE SHIELD NC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RG0100X | Internal Medicine - Gastroenterology | 96-01110 (North Carolina) | Primary |
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