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6217 Tiffield Way Wake Forest NC 27587-3601 | |
| (919) 824-0589 | |
| (919) 453-0198 |
| Full Name | |
|---|---|
| Speciality | Family Medicine |
| Location | 6217 Tiffield Way, Wake Forest, North Carolina |
| Authorized Official Name and Position | Sherif George Naguib (OWNER-SOLE MEMBER) |
| Authorized Official Contact | 9198240589 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
Po Box 845 Wake Forest NC 27588-0845 Ph: (919) 824-0589 | 6217 Tiffield Way Wake Forest NC 27587-3601 Ph: (919) 824-0589 |
| NPI Number | 1760536569 |
|---|---|
| Provider Enumeration Date | 01/22/2007 |
| Last Update Date | 07/25/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760536569 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 35995 (North Carolina) | Primary |
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