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11200 Governor Manly Way Ste 205 Raleigh NC 27614-7367 | |
(919) 570-7700 | |
(919) 570-7701 |
Full Name | |
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Speciality | Family Medicine |
Location | 11200 Governor Manly Way Ste 205, Raleigh, North Carolina |
Authorized Official Name and Position | Lynne Christine Fiscus (CMO) |
Authorized Official Contact | 9842154111 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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5221 Paramount Pkwy Ste 220 Morrisville NC 27560-5490 Ph: () - | 11200 Governor Manly Way Ste 205 Raleigh NC 27614-7367 Ph: (919) 570-7700 |
NPI Number | 1376841874 |
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Provider Enumeration Date | 03/08/2011 |
Last Update Date | 01/16/2025 |
Identifier | Type | State | Issuer |
---|---|---|---|
1376841874 | NPI | - | NPPES |
1376841874 | Medicaid | NC |
Taxonomy | Type | License (State) | Status |
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207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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Wakefield Pediatrics & Adolescent Medicine,p.a. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 14341 New Falls Of Neuse, Suite 122, Raleigh, NC 27614 Phone: 919-570-7010 Fax: 919-570-7020 | |