Organization
BLUHAVEN HEALTH PA
Active
Other names
BluHaven Health
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLIE FRYE (DIRECTOR)
(984) 370-2350
Entity
Organization
Contact information
Practice address
4109 WAKE FOREST RD STE 220, RALEIGH, NC 27609-2510
(984) 370-2350
(984) 370-2352
Mailing address
4109 WAKE FOREST RD, RALEIGH, NC 27609-2510
(984) 370-2350
(984) 370-2352
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
—
—
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
363L00000X
Nurse Practitioner
—
—
Other
Enumeration date
06/07/2024
Last updated
10/29/2024
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