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220 Swinburne St Raleigh NC 27610-1834 | |
(919) 212-9230 | |
(919) 212-9233 |
Full Name | |
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Speciality | Clinic/Center |
Location | 220 Swinburne St, Raleigh, North Carolina |
Authorized Official Name and Position | Jon Leizman (PRESIDENT) |
Authorized Official Contact | 2164799063 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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5500 Maryland Way Ste 400 Brentwood TN 37027-7048 Ph: (844) 407-7557 | 220 Swinburne St Raleigh NC 27610-1834 Ph: (919) 212-9230 |
NPI Number | 1427575869 |
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Provider Enumeration Date | 08/25/2017 |
Last Update Date | 01/06/2023 |
Medicare PECOS PAC ID | 7315927597 |
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Medicare Enrollment ID | O20211104000772 |
Identifier | Type | State | Issuer |
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1427575869 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
Provider Name | Courtney W Wilson |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1043309198 PECOS PAC ID: 2668426768 Enrollment ID: I20050311000148 |
Provider Name | Heather M Fayhee |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1255326609 PECOS PAC ID: 6608894589 Enrollment ID: I20051109000578 |
Provider Name | Jennifer M Mccreary |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1053397919 PECOS PAC ID: 4880865054 Enrollment ID: I20110920000072 |
Provider Name | Brittany A Baker |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1982950721 PECOS PAC ID: 4880843085 Enrollment ID: I20121003000662 |
Provider Name | Brandy Hunt |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1740633668 PECOS PAC ID: 6709136690 Enrollment ID: I20180914000872 |
Provider Name | Kristian Antionette Gibson-ford |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1841781119 PECOS PAC ID: 3476941840 Enrollment ID: I20211104001082 |
Provider Name | Melissa Etchison |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1144579848 PECOS PAC ID: 4587814660 Enrollment ID: I20230321000066 |
Alignment Healthcare Medical Associates Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1540 Sunday Dr Ste 214, Raleigh, NC 27607 Phone: 919-803-4820 Fax: 919-803-4821 | |
Essential Health & Wellness Raleigh Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2011 Falls Valley Dr Ste 111, Raleigh, NC 27615 Phone: 919-208-2314 | |
Wakefield Pediatrics & Adolescent Medicine,p.a. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 14341 New Falls Of Neuse, Suite 122, Raleigh, NC 27614 Phone: 919-570-7010 Fax: 919-570-7020 | |