Organization
CAROLINA PRIMARY CARE, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANELIA P ROSE M.D. (PHYSICIAN OWNER)
(919) 405-2100
Entity
Organization
Contact information
Practice address
6011 FAYETTEVILLE RD, SUITE 104A, DURHAM, NC 27713-6248
(919) 405-2100
(919) 806-2004
Mailing address
6011 FAYETTEVILLE RD, SUITE 104A, DURHAM, NC 27713-6248
(919) 405-2100
(919) 806-2004
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
200000934
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
014KN
BLUE CROSS BLUE SHIELD
NC
05
—
89014KN
—
NC
Enumeration date
01/24/2007
Last updated
07/12/2007
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