# NC TELEHEALTH

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1093339368
- **Authorized official:** MICHELLE MACK DNP, FNP-C, APRN (NP)
- **Authorized official phone:** (877) 561-5899

## Contact information

- **Practice address:** 1030 N ROGERS LN STE 121, RALEIGH, NC 27610-6083
- **Practice address phone:** (877) 561-5899
- **Practice address fax:** (910) 370-9643
- **Mailing address:** PO BOX 1516, HOPE MILLS, NC 28348-1516
- **Mailing address phone:** (877) 561-5899

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 06/02/2020
- **Last updated:** 05/20/2021