Organization
FUQUAY URGENT CARE & FAMILY CLINIC INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KATRINA A. CATTO (VP OF PRACTICE SERVICES)
(919) 550-0821
Entity
Organization
Contact information
Practice address
1418 N. MAIN ST., FUQUAY-VARINA, NC 27526-8901
(919) 552-1733
(919) 552-1495
Mailing address
935 SHOTWELL RD., SUITE 108, CLAYTON, NC 27520-5597
(919) 550-0821
(919) 550-0735
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
015A6
BCBS OF NC GROUP NUMBER
NC
01
—
7675656
AETNA
—
05
—
89015A6
—
NC
Enumeration date
10/05/2006
Last updated
01/24/2011
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