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Organization
PC HEALTH PARTNERS PA
Active
Organization
PC HEALTH PARTNERS PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHANNING TATUM (CLINICAL OPERATIONS RN)
(919) 885-1443
Entity
Organization
Contact information
Practice address
7901 4TH ST N STE 300, ST PETERSBURG, FL 33702-4399
(424) 396-5507
Mailing address
807 E MAIN ST STE 6100, DURHAM, NC 27701-4097
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
03/06/2025
Last updated
03/20/2026
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