Organization
OLD WELL MEDICINE, PLLC
Active
Other names
Old Well Health, Old Well Health
Organization subpart
No
Provider details
NPI number
Authorized official
DR. AMIT A PATEL MD (MANAGER)
(919) 495-6777
Entity
Organization
Contact information
Practice address
5322 NC HIGHWAY 55 STE 102B, DURHAM, NC 27713-7816
(919) 944-4404
Mailing address
964 HIGH HOUSE RD STE 3217, CARY, NC 27513-3574
(833) 433-7100
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
—
—
171400000X
Health & Wellness Coach
—
—
175F00000X
Naturopath
—
—
183500000X
Pharmacist
—
—
207R00000X
Internal Medicine Physician
—
—
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
—
—
261QI0500X
Infusion Therapy Clinic/Center
—
—
261QM2500X
Medical Specialty Clinic/Center
Primary
—
—
332900000X
Non-Pharmacy Dispensing Site
—
—
Other
Enumeration date
02/28/2019
Last updated
02/17/2024
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