| |
1838 Martin Luther King Jr Blvd Suite 19b Chapel Hill NC 27514-7415 | |
(919) 960-7461 | |
Not Available |
Full Name | |
---|---|
Speciality | Clinic/center - Primary Care |
Location | 1838 Martin Luther King Jr Blvd, Chapel Hill, North Carolina |
Authorized Official Name and Position | Keith Gran (COO) |
Authorized Official Contact | 9198434810 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
143 W Franklin St Chapel Hill NC 27516-2539 Ph: (919) 843-4810 | 1838 Martin Luther King Jr Blvd Suite 19b Chapel Hill NC 27514-7415 Ph: (919) 960-7461 |
NPI Number | 1811915705 |
---|---|
Provider Enumeration Date | 07/18/2006 |
Last Update Date | 04/23/2008 |
Identifier | Type | State | Issuer |
---|---|---|---|
1811915705 | NPI | - | NPPES |
790258C | Medicaid | NC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
Preventative Wellness Solutions Iii Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 112 Perkins Dr Ste 300, Chapel Hill, NC 27514 Phone: 919-364-3344 Fax: 919-364-0137 | |
Connection Chiropractic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 901 Willow Dr Ste 1, Chapel Hill, NC 27514 Phone: 919-307-9610 | |
Duke University Health System, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 66 Vilcom Center Dr Ste 101, Chapel Hill, NC 27514 Phone: 919-385-7680 Fax: 919-385-9554 | |