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3396 Six Forks Rd Raleigh NC 27609-7233 | |
(919) 781-8897 | |
(919) 782-4983 |
Full Name | |
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Speciality | Family Medicine |
Location | 3396 Six Forks Rd, Raleigh, North Carolina |
Authorized Official Name and Position | Rodolfo C Reyes (MANAGER OWNER) |
Authorized Official Contact | 9108934111 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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100 S 10th Street Lillington NC 27546-6690 Ph: (910) 893-4111 | 3396 Six Forks Rd Raleigh NC 27609-7233 Ph: (919) 781-8897 |
NPI Number | 1205865987 |
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Provider Enumeration Date | 07/03/2006 |
Last Update Date | 07/23/2015 |
Medicare PECOS PAC ID | 0648160382 |
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Medicare Enrollment ID | O20080430000897 |
Identifier | Type | State | Issuer |
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1205865987 | NPI | - | NPPES |
89016NV | Medicaid | NC |
Taxonomy | Type | License (State) | Status |
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207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Provider Name | Monica Williams |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1780169623 PECOS PAC ID: 1355695164 Enrollment ID: I20181114002205 |
Provider Name | Elizabeth Laney |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1215410139 PECOS PAC ID: 1759635477 Enrollment ID: I20181116000196 |
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