Novant Health Primary Care Partners | |
10500 Ligon Mill Rd Suite 113 Wake Forest NC 27587-4576 | |
(919) 570-5705 | |
(919) 570-5710 |
Full Name | Novant Health Primary Care Partners |
---|---|
Speciality | Family Medicine |
Location | 10500 Ligon Mill Rd, Wake Forest, North Carolina |
Authorized Official Name and Position | Leea Jeanine Walton (RCS MANAGER) |
Authorized Official Contact | 7043166081 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Novant Health Primary Care Partners Po Box 60447 Charlotte NC 28260-0447 Ph: (919) 570-5705 | Novant Health Primary Care Partners 10500 Ligon Mill Rd Suite 113 Wake Forest NC 27587-4576 Ph: (919) 570-5705 |
NPI Number | 1235458985 |
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Provider Enumeration Date | 05/20/2010 |
Last Update Date | 07/09/2024 |
Identifier | Type | State | Issuer |
---|---|---|---|
1235458985 | NPI | - | NPPES |
5914970 | Medicaid | NC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 2005-01578 (North Carolina) | Primary |
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