Organization
NORTH CAROLINA NEPHROLOGY PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER CAPPS (BILLING MANAGER)
(919) 459-8409
Entity
Organization
Contact information
Practice address
3604 BUSH ST FL 2, RALEIGH, NC 27609-7511
(919) 876-7807
(919) 876-8823
Mailing address
3031 NEW BERN AVE STE 306, RALEIGH, NC 27610-2989
(919) 231-3966
(919) 231-3912
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
—
—
Other
Enumeration date
03/23/2018
Last updated
03/23/2018
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