| Premier Health Center, Pllc | |
|
409 Wake Chapel Rd Fuquay Varina NC 27526-1956 | |
| (919) 567-9001 | |
| (919) 557-5540 |
| Full Name | Premier Health Center, Pllc |
|---|---|
| Speciality | Internal Medicine |
| Location | 409 Wake Chapel Rd, Fuquay Varina, North Carolina |
| Authorized Official Name and Position | Afaque Akhtar (PHYSICIAN/PARTNER) |
| Authorized Official Contact | 9195679001 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Premier Health Center, Pllc 409 Wake Chapel Road Fuquay Varina NC 27526-1956 Ph: (919) 567-9001 | Premier Health Center, Pllc 409 Wake Chapel Rd Fuquay Varina NC 27526-1956 Ph: (919) 567-9001 |
| NPI Number | 1982933131 |
|---|---|
| Provider Enumeration Date | 12/17/2009 |
| Last Update Date | 11/27/2013 |
| Medicare PECOS PAC ID | 5496883134 |
|---|---|
| Medicare Enrollment ID | O20100517000689 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982933131 | NPI | - | NPPES |
| 5914157 | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 200100893 (North Carolina) | Secondary |
| 207R00000X | Internal Medicine | 200401463 (North Carolina) | Primary |
| Provider Name | Afaque Akhtar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1053309419 PECOS PAC ID: 5496704918 Enrollment ID: I20050121000335 |
| Provider Name | Sophia N Stephens |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730406133 PECOS PAC ID: 5294919783 Enrollment ID: I20131203002058 |
| Provider Name | Lindsey Renee Goldberg |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205599354 PECOS PAC ID: 4385026780 Enrollment ID: I20220802001112 |
| Provider Name | Zia U Din |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1396740171 PECOS PAC ID: 5991835530 Enrollment ID: I20220829001608 |
| Provider Name | Yvonne Spencer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720863830 PECOS PAC ID: 8921455163 Enrollment ID: I20231109003386 |
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