Organization
UNC PHYSICIANS NETWORK GROUP PRACTICES, LLC
Active
Organization
UNC PHYSICIANS NETWORK GROUP PRACTICES, LLC
Active
Other names
Boylan Healthcare
Organization subpart
No
Provider details
NPI number
Authorized official
LYNNE CHRISTINE FISCUS MD (CMO)
(984) 215-4111
Entity
Organization
Contact information
Practice address
8300 HEALTH PARK DR., SUITE #320, RALEIGH, NC 27615-4731
(919) 781-9650
Mailing address
5221 PARAMOUNT PKWY STE 220, MORRISVILLE, NC 27560-5490
Taxonomy
Speciality
Code
Description
License number
State
146M00000X
Intermediate Emergency Medical Technician
—
—
207R00000X
Internal Medicine Physician
Primary
—
NC
291U00000X
Clinical Medical Laboratory
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1275872905
—
NC
Enumeration date
01/31/2013
Last updated
01/16/2025
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