Organization
FAMILY WELLNESS CLINIC
Active
Organization
FAMILY WELLNESS CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BHAVNA VAIDYA TANK M.D. (OWNER)
(919) 553-5711
Entity
Organization
Contact information
Practice address
2076 NC HIGHWAY 42 W STE 230, CLAYTON, NC 27520-5303
(919) 553-5711
(919) 553-5712
Mailing address
2076 NC HIGHWAY 42 W STE 230, CLAYTON, NC 27520-5303
(919) 553-5711
(919) 553-5712
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
200400430
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
CA891372V
—
NC
Enumeration date
12/30/2014
Last updated
12/30/2014
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up