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Organization
OLD WELL MEDICINE, PLLC
Active
Organization
OLD WELL MEDICINE, PLLC
Active
Other names
Old Well Health, Old Well Health
Organization subpart
No
Provider details
NPI number
Authorized official
DR. AMIT A PATEL MD (MANAGER)
(919) 495-6777
Entity
Organization
Contact information
Practice address
5322 NC HIGHWAY 55 STE 102B, DURHAM, NC 27713-7816
(919) 944-4404
Mailing address
964 HIGH HOUSE RD STE 3217, CARY, NC 27513-3574
(833) 433-7100
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
—
NULL
133N00000X
Nutritionist
—
—
171400000X
Health & Wellness Coach
—
NULL
171400000X
Health & Wellness Coach
—
—
175F00000X
Naturopath
—
NULL
175F00000X
Naturopath
—
—
183500000X
Pharmacist
—
NULL
183500000X
Pharmacist
—
—
207R00000X
Internal Medicine Physician
—
NULL
207R00000X
Internal Medicine Physician
—
—
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
—
NULL
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
—
—
261QI0500X
Infusion Therapy Clinic/Center
—
NULL
261QM2500X
Medical Specialty Clinic/Center
Primary
—
NULL
332900000X
Non-Pharmacy Dispensing Site
—
NULL
Other
Enumeration date
02/28/2019
Last updated
02/17/2024
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