Organization
WOMENS PRIMARY CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LINDA M THEN (PRACTICE MANAGER)
(919) 871-0301
Entity
Organization
Contact information
Practice address
1617 RONALD DR, RALEIGH, NC 27609-6224
(919) 871-0301
(919) 871-0410
Mailing address
1617 RONALD DR, RALEIGH, NC 27609-6224
(919) 871-0301
(919) 871-0410
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
96-01343
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8910326
—
NC
Enumeration date
06/25/2006
Last updated
08/22/2020
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