Organization
PRIME NC HEALTH, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JEFFREY POREE (MANAGER)
(404) 805-4288
Entity
Organization
Contact information
Practice address
160 MINE LAKE CT STE 200, RALEIGH, NC 27615-6417
(404) 805-4288
Mailing address
5825 GLENRIDGE DR. BLDG 3 STE 101, ATLANTA, GA 30328
(404) 805-4288
Taxonomy
Speciality
Code
Description
License number
State
246ZE0600X
Electroneurodiagnostic Specialist/Technologist
Primary
—
—
Other
Enumeration date
05/02/2019
Last updated
11/01/2022
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