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Organization

PRIME MEDICAL ASSOCIATES OF NORTH

Active
Other names
NORTH RALEIGH INTERNAL MEDICINE ASSOCIATES
Organization subpart
No

Provider details

NPI number
Authorized official
JOHN V. YACONO M.D. (PRESIDENT)
(919) 876-7200
Entity
Organization

Contact information

Practice address
2301 REXWOODS DR, SUITE 118, RALEIGH, NC 27607-3366
(919) 803-1417
(919) 803-1418
Mailing address
PO BOX 99279, RALEIGH, NC 27624-9279
(919) 803-1417
(919) 803-1418

Taxonomy

Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
96-01110
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0286L
BLUE CROSS BLUE SHIELD NC
NC
Enumeration date
02/28/2007
Last updated
01/23/2016
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