| Rex Family Practice Of Wakefield | |
|
11200 Governor Manly Way Ste 205 Raleigh NC 27614-7367 | |
| (919) 570-7700 | |
| (919) 570-7701 |
| Full Name | Rex Family Practice Of Wakefield |
|---|---|
| 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 |
|---|---|
| Rex Family Practice Of Wakefield 2000 Perimeter Park Dr Suite 200 Morrisville NC 27560-8442 Ph: () - | Rex Family Practice Of Wakefield 11200 Governor Manly Way Ste 205 Raleigh NC 27614-7367 Ph: (919) 570-7700 |
| NPI Number | 1376841874 |
|---|---|
| Provider Enumeration Date | 03/08/2011 |
| Last Update Date | 08/14/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376841874 | NPI | - | NPPES |
| 1376841874 | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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