Individual
MRS. GENEVIEVE SANATRA FAISON-ALSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
853 DURHAM RD, SUITE B, WAKE FOREST, NC 27587-8793
(919) 435-1099
(919) 435-1130
Mailing address
853 DURHAM RD, SUITE B, WAKE FOREST, NC 27587-8793
(919) 435-1099
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
9901171
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1258X
BLUE CROSS BLUE SHIELD
—
01
—
229108
UNITED HEALTH CARE
—
01
—
2409370
CIGNA
—
01
—
331532
WELL PATH
—
05
—
8912588
—
NC
Enumeration date
10/23/2006
Last updated
06/26/2015
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