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Organization

SOUTHLIGHT HEALTHCARE

Active
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Organization

SOUTHLIGHT HEALTHCARE

Active
Parent organization
SOUTHLIGHT HEALTHCARE
Organization subpart
Yes

Provider details

NPI number
Legal business name
SOUTHLIGHT HEALTHCARE
Authorized official
ADAM HARTZELL (CEO)
(919) 787-6131
Entity
Organization

Contact information

Practice address
2101 GARNER RD, RALEIGH, NC 27610-0114
(919) 787-6131
(919) 571-2932
Mailing address
3125 POPLARWOOD CT STE 203, RALEIGH, NC 27604-6445
(919) 787-6131
(919) 571-2932

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
207R00000X
Internal Medicine Physician
Primary

Other

Enumeration date
06/26/2024
Last updated
01/17/2025
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