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Organization
PROVIDER HEALTH ALLIANCE
Active
Organization
PROVIDER HEALTH ALLIANCE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHARON MENDENHALL (QUALITY / COMPLIANCE MANAGER)
(919) 654-7309
Entity
Organization
Contact information
Practice address
1004 DRESSER CT STE 102, RALEIGH, NC 27609-7325
(919) 654-7309
Mailing address
1004 DRESSER CT STE 102, RALEIGH, NC 27609-7325
(919) 654-7309
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
207V00000X
Obstetrics & Gynecology Physician
—
—
208000000X
Pediatrics Physician
—
—
Other
Enumeration date
11/17/2023
Last updated
11/17/2023
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