Organization
SOUTHEAST PRIMARY CARE, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LESLIE RODERIC BAKER MBA (PRESIDENT)
(828) 230-5915
Entity
Organization
Contact information
Practice address
1051 DARRINGTON DR, CARY, NC 27513-8133
(828) 230-5915
Mailing address
2007 PATAPSCO DR, APEX, NC 27523-3922
(828) 230-5915
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
10/18/2015
Last updated
07/27/2016
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