Organization
SAINT JOSEPH PRIMARY CARE
Active
Other names
St. Joseph Primary Care
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PETER LE (EXECUTIVE DIRECTOR)
(919) 201-5119
Entity
Organization
Contact information
Practice address
4400 FALLS OF NEUSE RD STE 101, RALEIGH, NC 27609-6287
(919) 201-5119
(919) 386-6867
Mailing address
4400 FALLS OF NEUSE RD STE 101, RALEIGH, NC 27609-6287
(919) 201-5119
(919) 386-6867
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1982820288
INDIVIDUAL NPI
NC
Enumeration date
01/20/2022
Last updated
01/20/2022
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