Organization
PRIME INTERNAL MEDICINE P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EDAVALLY N REDDY M.D (PRESIDENT)
(919) 233-6614
Entity
Organization
Contact information
Practice address
550 NEW WAVERLY PLACE, SUITE #120, CARY, NC 27511
(919) 233-6614
(919) 233-6615
Mailing address
550 NEW WAVERLY PLACE, SUITE # 120, CARY, NC 27511
(919) 233-6614
(919) 233-6615
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
9800854
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
891224U
—
NC
Enumeration date
06/29/2006
Last updated
08/22/2020
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