Organization
GERIATRIC VISITING PRACTITIONERS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRIS ODUOK (ADMINISTRATOR)
(919) 845-2131
Entity
Organization
Contact information
Practice address
6512 SIX FORKS RD, SUITE 601A, RALEIGH, NC 27615-6561
(919) 845-2131
(919) 845-2139
Mailing address
6512 SIX FORKS RD, SUITE 601A, RALEIGH, NC 27615-6561
(919) 845-2131
(919) 845-2139
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8346
LAST FOUR
TX
Enumeration date
04/01/2010
Last updated
04/01/2010
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