# CREEDMOOR CENTRE MEDICAL ASSOCIATES, PA

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

## Provider details

- **NPI number:** 1194893487
- **Authorized official:** DR. ROBERT CRAIG JUER M.D. (PRESIDENT)
- **Authorized official phone:** (919) 383-9286

## Contact information

- **Practice address:** 8311 BANDFORD WAY, SUITE 007, RALEIGH, NC 27615-2756
- **Practice address phone:** (919) 390-0400
- **Practice address fax:** (919) 390-0401
- **Mailing address:** 8311 BANDFORD WAY, SUITE 007, RALEIGH, NC 27615-2756
- **Mailing address phone:** (919) 390-0400
- **Mailing address fax:** (919) 390-0401

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QP2300X | Primary Care Clinic/Center | 29127 | NC | Yes |

## Other

- **Enumeration date:** 12/03/2006
- **Last updated:** 08/22/2020