| Village Family Care Of Wake Forest Pa | |
|
110 Capcom Ave Suite 200 Wake Forest NC 27587 | |
| (919) 562-2288 | |
| (919) 562-2225 |
| Full Name | Village Family Care Of Wake Forest Pa |
|---|---|
| Speciality | Family Medicine |
| Location | 110 Capcom Ave, Wake Forest, North Carolina |
| Authorized Official Name and Position | John Carson Rounds (VICE PRESIDENT) |
| Authorized Official Contact | 9195622288 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Village Family Care Of Wake Forest Pa Po Box 2060 Wake Forest NC 27588 Ph: (919) 562-2288 | Village Family Care Of Wake Forest Pa 110 Capcom Ave Suite 200 Wake Forest NC 27587 Ph: (919) 562-2288 |
| NPI Number | 1508830845 |
|---|---|
| Provider Enumeration Date | 02/14/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508830845 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 85326 (North Carolina) | Primary |
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