| Triangle Family Medicine, Pa | |
|
5233 Sunset Lake Rd Holly Springs NC 27540-3793 | |
| (919) 387-8885 | |
| Not Available |
| Full Name | Triangle Family Medicine, Pa |
|---|---|
| Speciality | Family Medicine |
| Location | 5233 Sunset Lake Rd, Holly Springs, North Carolina |
| Authorized Official Name and Position | Samreen Azeem (INCORPORATOR) |
| Authorized Official Contact | 9193878885 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Triangle Family Medicine, Pa 5233 Sunset Lake Rd Holly Springs NC 27540-3793 Ph: (919) 387-8885 | Triangle Family Medicine, Pa 5233 Sunset Lake Rd Holly Springs NC 27540-3793 Ph: (919) 387-8885 |
| NPI Number | 1184926024 |
|---|---|
| Provider Enumeration Date | 11/29/2010 |
| Last Update Date | 01/14/2011 |
| Medicare PECOS PAC ID | 0345429502 |
|---|---|
| Medicare Enrollment ID | O20110120000860 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184926024 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 2006-01349 (North Carolina) | Primary |
| Provider Name | Samreen W Azeem |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1093823874 PECOS PAC ID: 8426055898 Enrollment ID: I20061026000542 |
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