# CAPITAL PRIMARY MEDICINE AND NUTRITION CENTER

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

## Provider details

- **NPI number:** 1487874392
- **Authorized official:** DR. EVA M MANITIUS M.D. (PHYSCIAN/OWNER)
- **Authorized official phone:** (919) 570-9090

## Contact information

- **Practice address:** 10831 FOREST PINES DR STE 110, RALEIGH, NC 27614-8077
- **Practice address phone:** (919) 570-9090
- **Practice address fax:** (919) 570-9043
- **Mailing address:** 10831 FOREST PINES DR STE 110, RALEIGH, NC 27614-8077
- **Mailing address phone:** (919) 570-9090
- **Mailing address fax:** (919) 570-9043

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QP2300X | Primary Care Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 04/26/2007
- **Last updated:** 05/26/2019