| Southeast Primary Care, Pllc | |
|
1911 Falls Valley Dr Suite 105 Raleigh NC 27615-2495 | |
| (919) 249-4600 | |
| Not Available |
| Full Name | Southeast Primary Care, Pllc |
|---|---|
| Speciality | General Practice |
| Location | 1911 Falls Valley Dr, Raleigh, North Carolina |
| Authorized Official Name and Position | Leslie Roderic Baker (PRESIDENT) |
| Authorized Official Contact | 8282305915 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Southeast Primary Care, Pllc 2007 Patapsco Dr Apex NC 27523-3922 Ph: (828) 230-5915 | Southeast Primary Care, Pllc 1911 Falls Valley Dr Suite 105 Raleigh NC 27615-2495 Ph: (919) 249-4600 |
| NPI Number | 1134665789 |
|---|---|
| Provider Enumeration Date | 01/06/2017 |
| Last Update Date | 01/06/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134665789 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Primary |
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