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Organization
WELLLIFE HOUSE CALLS
Active
Organization
WELLLIFE HOUSE CALLS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DWAN KELSEY NP (OWNER)
(919) 829-1315
Entity
Organization
Contact information
Practice address
211 E SIX FORKS RD, SUITE 122, RALEIGH, NC 27609-7745
(919) 829-1315
Mailing address
211 E SIX FORKS RD, SUITE 122, RALEIGH, NC 27609-7745
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
136549
NC
Other
Enumeration date
07/11/2012
Last updated
07/11/2012
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