# OLD WELL MEDICINE, PLLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Old Well Health, Old Well Health
- **Organization subpart:** No

## Provider details

- **NPI number:** 1255898094
- **Authorized official:** DR. AMIT A PATEL MD (MANAGER)
- **Authorized official phone:** (919) 495-6777

## Contact information

- **Practice address:** 5322 NC HIGHWAY 55 STE 102B, DURHAM, NC 27713-7816
- **Practice address phone:** (919) 944-4404
- **Mailing address:** 964 HIGH HOUSE RD STE 3217, CARY, NC 27513-3574
- **Mailing address phone:** (833) 433-7100

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 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 | — | NULL | Yes |
| 332900000X | Non-Pharmacy Dispensing Site | — | NULL | — |

## Other

- **Enumeration date:** 02/28/2019
- **Last updated:** 02/17/2024