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Organization

GALATIANS FOUNDATION

Active
Parent organization
GALATIANS FOUNDATION
Other names
Galatians Community Health, City of Oaks Wellness
Organization subpart
Yes

Provider details

NPI number
Legal business name
GALATIANS FOUNDATION
Authorized official
WANETT T MIMS (OWNER)
(919) 607-8782
Entity
Organization

Contact information

Practice address
1004 DRESSER CT STE 102, RALEIGH, NC 27609-7325
(919) 266-0175
(833) 450-4826
Mailing address
PO BOX 10492, RALEIGH, NC 27605-0492
(919) 654-7309
(919) 651-1045

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
207V00000X
Obstetrics & Gynecology Physician
208000000X
Pediatrics Physician
261QM1300X
Multi-Specialty Clinic/Center
363A00000X
Physician Assistant
363L00000X
Nurse Practitioner
367A00000X
Advanced Practice Midwife

Other

Enumeration date
09/02/2021
Last updated
07/24/2024
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