| West Raleigh Internal Medicine | |
|
2304 Wesvill Ct Suite 210 Raleigh NC 27607-2973 | |
| (919) 684-8111 | |
| Not Available |
| Full Name | West Raleigh Internal Medicine |
|---|---|
| Speciality | Internal Medicine |
| Location | 2304 Wesvill Ct, Raleigh, North Carolina |
| Authorized Official Name and Position | Christopher Thomas Frederick (CFO) |
| Authorized Official Contact | 9196137762 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| West Raleigh Internal Medicine Po Box 110566 Durham NC 27709-5566 Ph: (919) 620-4855 | West Raleigh Internal Medicine 2304 Wesvill Ct Suite 210 Raleigh NC 27607-2973 Ph: (919) 684-8111 |
| NPI Number | 1477586469 |
|---|---|
| Provider Enumeration Date | 07/10/2006 |
| Last Update Date | 07/11/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477586469 | NPI | - | NPPES |
| 012CA | Other | NC | BCBS GRP |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
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