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Organization

CENTRAL FAMILY PRACTICE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ANN REBECCA THOMPSON (SECRETARY)
(919) 688-5561
Entity
Organization

Contact information

Practice address
507 LINWOOD AVE, DURHAM, NC 27701-4427
(919) 688-5561
(919) 688-5563
Mailing address
507 LINWOOD AVE, DURHAM, NC 27701-4427
(919) 688-5561
(919) 688-5563

Taxonomy

Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
17981
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
8901240
NC
Enumeration date
03/14/2007
Last updated
08/22/2020
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