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Organization
GENERAL MEDICAL PRACTICE AND URGENT CARE, PA
Active
Organization
GENERAL MEDICAL PRACTICE AND URGENT CARE, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CHILEATHA WYNN MS,PA-C (PRESIDENT/CEO)
(919) 383-0003
Entity
Organization
Contact information
Practice address
3505 N ROXBORO ST, SUITE C, DURHAM, NC 27704-2767
(919) 383-0003
(919) 382-0042
Mailing address
3505 N ROXBORO ST, SUITE C, DURHAM, NC 27704-2767
(919) 383-0003
(919) 382-0042
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
010-00919
NC
Other
Enumeration date
01/22/2010
Last updated
01/22/2010
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