Organization
A PLUS FAMILY CARE CENTER, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WANETT T MIMS (PRESIDENT)
(919) 654-7309
Entity
Organization
Contact information
Practice address
4551 NEW BERN AVE STE 160, RALEIGH, NC 27610-1552
(919) 556-1008
(919) 556-6099
Mailing address
PO BOX 10492, RALEIGH, NC 27605-0492
(919) 654-7309
(919) 651-1045
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
207V00000X
Obstetrics & Gynecology Physician
—
—
208000000X
Pediatrics Physician
—
—
Other
Enumeration date
08/31/2021
Last updated
08/31/2021
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