# GENERAL MEDICAL PRACTICE AND URGENT CARE, PA

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

## Provider details

- **NPI number:** 1245561745
- **Authorized official:** MS. CHILEATHA WYNN MS,PA-C (PRESIDENT/CEO)
- **Authorized official phone:** (919) 383-0003

## Contact information

- **Practice address:** 3505 N ROXBORO ST, SUITE C, DURHAM, NC 27704-2767
- **Practice address phone:** (919) 383-0003
- **Practice address fax:** (919) 382-0042
- **Mailing address:** 3505 N ROXBORO ST, SUITE C, DURHAM, NC 27704-2767
- **Mailing address phone:** (919) 383-0003
- **Mailing address fax:** (919) 382-0042

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QP2300X | Primary Care Clinic/Center | 010-00919 | NC | Yes |

## Other

- **Enumeration date:** 01/22/2010
- **Last updated:** 01/22/2010