| Prime Md Pc | |
|
152 Capcom Ave Suite 101 Wake Forest NC 27587-6586 | |
| (919) 880-6649 | |
| Not Available |
| Full Name | Prime Md Pc |
|---|---|
| Speciality | Family Medicine |
| Location | 152 Capcom Ave, Wake Forest, North Carolina |
| Authorized Official Name and Position | Joseph Hummel (OWNER) |
| Authorized Official Contact | 9198806649 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Prime Md Pc 152 Capcom Ave Suite 101 Wake Forest NC 27587-6586 Ph: () - | Prime Md Pc 152 Capcom Ave Suite 101 Wake Forest NC 27587-6586 Ph: (919) 880-6649 |
| NPI Number | 1891150793 |
|---|---|
| Provider Enumeration Date | 12/18/2015 |
| Last Update Date | 10/04/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891150793 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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