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Organization
NC TELEHEALTH
Active
Organization
NC TELEHEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELLE MACK DNP, FNP-C, APRN (NP)
(877) 561-5899
Entity
Organization
Contact information
Practice address
1030 N ROGERS LN STE 121, RALEIGH, NC 27610-6083
(877) 561-5899
(910) 370-9643
Mailing address
PO BOX 1516, HOPE MILLS, NC 28348-1516
(877) 561-5899
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
06/02/2020
Last updated
05/20/2021
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