Organization
CAPITAL PRIMARY MEDICINE AND NUTRITION CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EVA M MANITIUS M.D. (PHYSCIAN/OWNER)
(919) 570-9090
Entity
Organization
Contact information
Practice address
10831 FOREST PINES DR STE 110, RALEIGH, NC 27614-8077
(919) 570-9090
(919) 570-9043
Mailing address
10831 FOREST PINES DR STE 110, RALEIGH, NC 27614-8077
(919) 570-9090
(919) 570-9043
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
04/26/2007
Last updated
05/26/2019
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