Organization
PRIVATE DIAGNOSTIC CLINIC
Active
Other names
DUKE CHILDREN'S PRIMARY CARE BRIER CREEK
Organization subpart
No
Provider details
NPI number
Authorized official
KENNI WATKINS (FINANICAL CARE COUNSLOR)
(919) 307-0301
Entity
Organization
Contact information
Practice address
10211 ALM ST, SUITE 200, RALEIGH, NC 27617-8221
(919) 307-0301
(919) 307-0323
Mailing address
10211 ALM ST, SUITE 200, RALEIGH, NC 27617-8221
(919) 307-0301
(919) 307-0323
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
1134395114
NC
261QP2300X
Primary Care Clinic/Center
1386819795
NC
261QP2300X
Primary Care Clinic/Center
Primary
1447306113
NC
261QP2300X
Primary Care Clinic/Center
1598007866
NC
261QP2300X
Primary Care Clinic/Center
1760566624
NC
261QP2300X
Primary Care Clinic/Center
1881778785
NC
Other
Enumeration date
02/02/2017
Last updated
02/02/2017
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