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Organization
UNIVERSAL MEDICAL ASSOCIATES, PLLC
Active
Organization
UNIVERSAL MEDICAL ASSOCIATES, PLLC
Active
Parent organization
UNIVERSAL MEDICAL ASSOCIATES PLLC
Other names
UNIVERSAL FAMILY MEDICINE
Organization subpart
Yes
Provider details
NPI number
Legal business name
UNIVERSAL MEDICAL ASSOCIATES PLLC
Authorized official
DR. RODOLFO C REYES MD (MANAGER OWNER)
(910) 893-4111
Entity
Organization
Contact information
Practice address
3396 SIX FORKS RD, RALEIGH, NC 27609-7233
(919) 781-8897
(919) 782-4983
Mailing address
100 S 10TH STREET, LILLINGTON, NC 27546-6690
(910) 893-4111
(910) 893-9850
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
89016NV
—
NC
Enumeration date
07/03/2006
Last updated
07/23/2015
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