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Organization

WELLNESS FAMILY PRACTICE, PA

Active
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Organization

WELLNESS FAMILY PRACTICE, PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
KATI E DESSAUER MD (DOCTOR)
(919) 859-7044
Entity
Organization

Contact information

Practice address
100 RIDGE VIEW DR, SUITE 105, CARY, NC 27511-5589
(919) 859-7044
(919) 859-7052
Mailing address
100 RIDGE VIEW DR, SUITE 105, CARY, NC 27511-5589
(919) 859-7044
(919) 859-7052

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
32201
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1092658008
CIGNA
NC
01
—
1306832563
NPI #
NC
01
—
1409466
UNITED HEALTHCARE
NC
01
—
4352699
AETNA
NC
01
—
58364
BCBS
NC
01
—
C0514
MEDCOST
NC
Enumeration date
05/23/2007
Last updated
06/12/2009
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