Organization
NC PREVENTATIVE MEDICINE AND WELLNESS CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WENDY JONES (REGIONAL BUSINESS MANAGER)
(980) 721-2675
Entity
Organization
Contact information
Practice address
1911 FALLS VALLEY DR, SUITE 105, RALEIGH, NC 27615-2495
(919) 249-4600
Mailing address
1911 FALLS VALLEY DR, SUITE 105, RALEIGH, NC 27615-2495
(919) 249-4600
Taxonomy
Speciality
Code
Description
License number
State
207QB0002X
Obesity Medicine (Family Medicine) Physician
Primary
—
—
Other
Enumeration date
04/03/2014
Last updated
04/03/2014
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