# CAROLINA PRIMARY CARE, P.A.

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

## Provider details

- **NPI number:** 1275688780
- **Authorized official:** ANELIA P ROSE M.D. (PHYSICIAN OWNER)
- **Authorized official phone:** (919) 405-2100

## Contact information

- **Practice address:** 6011 FAYETTEVILLE RD, SUITE 104A, DURHAM, NC 27713-6248
- **Practice address phone:** (919) 405-2100
- **Practice address fax:** (919) 806-2004
- **Mailing address:** 6011 FAYETTEVILLE RD, SUITE 104A, DURHAM, NC 27713-6248
- **Mailing address phone:** (919) 405-2100
- **Mailing address fax:** (919) 806-2004

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 200000934 | NC | Yes |

## Other

- **Enumeration date:** 01/24/2007
- **Last updated:** 07/12/2007

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 014KN | BLUE CROSS BLUE SHIELD | NC |
| 05 | — | 89014KN | — | NC |