Organization
CLAYTON URGENT CARE AND FAMILY CLINIC PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NENA REEVES (DIRECTOR OF BUSINESS DEVELOPMENT)
(919) 550-0821
Entity
Organization
Contact information
Practice address
11491 US HIGHWAY 70 W, CLAYTON, NC 27520
(919) 550-2484
(919) 550-7059
Mailing address
935 SHOTWELL RD, SUITE 108, CLAYTON, NC 27520
(919) 550-0821
(919) 550-0735
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0139V
BCBS OF NC GROUP NUMBER
NC
01
—
5948370
AETNA
—
05
—
89015PA
—
NC
Enumeration date
10/05/2006
Last updated
08/19/2010
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