Organization
AHMED IBN-MAHFOUDH
Active
Other names
PREMIER HEALTH CENTER
Organization subpart
No
Provider details
NPI number
Authorized official
AHMED IBN-MAHFOUDH MD (PRESIDENT)
(919) 567-9001
Entity
Organization
Contact information
Practice address
409 WAKE CHAPEL RD, FUQUAY VARINA, NC 27526-1956
(919) 567-9001
(919) 701-0044
Mailing address
708 RUSHING FALLS PL, FUQUAY VARINA, NC 27526-6975
(919) 567-9001
(919) 701-0044
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
200100393
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
89130NY
—
NC
Enumeration date
04/12/2007
Last updated
02/09/2010
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