Organization
GENERAL MEDICAL PRACTICE AND URGENT CARE, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CHILEATHA WYNN MS,PA-C (PRESIDENT/CEO)
(919) 383-0003
Entity
Organization
Contact information
Practice address
3505 N ROXBORO ST, SUITE C, DURHAM, NC 27704-2767
(919) 383-0003
(919) 382-0042
Mailing address
3505 N ROXBORO ST, SUITE C, DURHAM, NC 27704-2767
(919) 383-0003
(919) 382-0042
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
010-00919
NC
Other
Enumeration date
01/22/2010
Last updated
01/22/2010
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