# GLENWOOD DIRECT PRIMARY CARE PLLC

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

## Provider details

- **NPI number:** 1174309553
- **Authorized official:** DR. ABID ALI SHAH MD (PHYSICIAN/OWNER)
- **Authorized official phone:** (919) 605-7318

## Contact information

- **Practice address:** 5623 DURALEIGH RD STE 141, RALEIGH, NC 27612-2700
- **Practice address phone:** (919) 322-0730
- **Practice address fax:** (919) 615-0113
- **Mailing address:** 5623 DURALEIGH RD STE 141, RALEIGH, NC 27612-2700
- **Mailing address phone:** (919) 322-0730
- **Mailing address fax:** (919) 615-0113

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QP2300X | Primary Care Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 09/01/2023
- **Last updated:** 09/01/2023