| Triangle Health And Wellness, Llc | |
|
1700 E Hwy 54 Suite A Durham NC 27713 | |
| (919) 321-0781 | |
| Not Available |
| Full Name | Triangle Health And Wellness, Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 1700 E Hwy 54, Durham, North Carolina |
| Authorized Official Name and Position | Alice Dillard (OWNER) |
| Authorized Official Contact | 9193210781 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Triangle Health And Wellness, Llc 1700 E Hwy 54 Suite A Durham NC 27713 Ph: (919) 321-0781 | Triangle Health And Wellness, Llc 1700 E Hwy 54 Suite A Durham NC 27713 Ph: (919) 321-0781 |
| NPI Number | 1770178295 |
|---|---|
| Provider Enumeration Date | 03/05/2021 |
| Last Update Date | 03/10/2021 |
| Medicare PECOS PAC ID | 2567870058 |
|---|---|
| Medicare Enrollment ID | O20210422000383 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770178295 | NPI | - | NPPES |
| 10551 | Other | NC | LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
| Provider Name | Laura Purdy |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1093058463 PECOS PAC ID: 9133556624 Enrollment ID: I20200728001485 |
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