Organization
SOUTHERN GERIATRICS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID WESLEY LOEWY- PH.D (CEO)
(919) 463-5600
Entity
Organization
Contact information
Practice address
1310 SE MAYNARD RD, SUITE 202, CARY, NC 27511-3615
(919) 463-5600
Mailing address
1310 SE MAYNARD RD, SUITE 202, CARY, NC 27511-3615
(919) 463-5600
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
—
—
Other
Enumeration date
08/05/2008
Last updated
08/05/2008
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