Organization
FAMILY FIRST PRIMARY CARE PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT W GARDNER MD (OWNER/PROVIDER)
(919) 504-4000
Entity
Organization
Contact information
Practice address
3150 ROGERS RD STE 101, WAKE FOREST, NC 27587-4196
(919) 504-4000
Mailing address
3150 ROGERS RD STE 101, WAKE FOREST, NC 27587-4196
(919) 504-4000
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
200201082
NC
Other
Enumeration date
04/29/2015
Last updated
12/18/2015
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