| Raleigh Preventative Care, Pa | |
|
4201 Lake Boone Trl Suite 102 Raleigh NC 27607-7512 | |
| (919) 896-8383 | |
| (919) 896-8387 |
| Full Name | Raleigh Preventative Care, Pa |
|---|---|
| Speciality | Family Medicine |
| Location | 4201 Lake Boone Trl, Raleigh, North Carolina |
| Authorized Official Name and Position | Jennifer P. Cattano (PRACTICE MANAGER) |
| Authorized Official Contact | 9198968383 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Raleigh Preventative Care, Pa 4201 Lake Boone Trl Suite 102 Raleigh NC 27607-7512 Ph: (919) 896-8383 | Raleigh Preventative Care, Pa 4201 Lake Boone Trl Suite 102 Raleigh NC 27607-7512 Ph: (919) 896-8383 |
| NPI Number | 1588808976 |
|---|---|
| Provider Enumeration Date | 04/29/2009 |
| Last Update Date | 12/09/2019 |
| Medicare PECOS PAC ID | 7911059555 |
|---|---|
| Medicare Enrollment ID | O20090713000675 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588808976 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 19363 (North Carolina) | Primary |
| Provider Name | Scott D Hoffman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1902806235 PECOS PAC ID: 5991744922 Enrollment ID: I20050429000132 |
| Provider Name | William D Lee |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1467532465 PECOS PAC ID: 2668464488 Enrollment ID: I20090713000672 |
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