Organization
CLAYTON INTERNAL MEDICINE PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MAZEN KHUSAYEM MD (PRESIDENT)
(919) 550-6336
Entity
Organization
Contact information
Practice address
301 AMOS ST, CLAYTON, NC 27520-2644
(919) 550-6336
(919) 550-0180
Mailing address
PO BOX 997, CLAYTON, NC 27528-0997
(919) 550-6336
(919) 550-0180
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
9900898
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
89126XV
—
NC
Enumeration date
05/14/2007
Last updated
01/22/2013
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