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Organization
VILLAGE FAMILY CARE OF WAKE FOREST PA
Active
Organization
VILLAGE FAMILY CARE OF WAKE FOREST PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN CARSON ROUNDS MD (VICE PRESIDENT)
(919) 562-2288
Entity
Organization
Contact information
Practice address
110 CAPCOM AVE, SUITE 200, WAKE FOREST, NC 27587
(919) 562-2288
(919) 562-2225
Mailing address
PO BOX 2060, WAKE FOREST, NC 27588
(919) 562-2288
(919) 562-2225
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
85326
NC
Other
Enumeration date
02/14/2006
Last updated
08/22/2020
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