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Organization

LEESVILLE INTERNAL MEDICINE, PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. AHMAD B BARAKAT MD (OWNER)
(919) 881-0691
Entity
Organization

Contact information

Practice address
5816 CREEDMOOR RD, SUITE 105, RALEIGH, NC 27612-2310
(919) 881-0691
(919) 881-0692
Mailing address
5816 CREEDMOOR RD, SUITE 105, RALEIGH, NC 27612-2310
(919) 881-0691
(919) 881-0692

Taxonomy

Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
9701241
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
5900610
NC
Enumeration date
03/05/2007
Last updated
08/30/2011
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