Harvardmed Family Practice, Inc | |
728 N Raleigh St Angier NC 27501-9134 | |
(919) 639-0100 | |
(919) 639-0313 |
Full Name | Harvardmed Family Practice, Inc |
---|---|
Speciality | Family Medicine |
Location | 728 N Raleigh St, Angier, North Carolina |
Authorized Official Name and Position | Mariyam A Hussain (OWNER) |
Authorized Official Contact | 9196390100 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Harvardmed Family Practice, Inc Po Box 1110 Angier NC 27501-1110 Ph: (919) 639-0100 | Harvardmed Family Practice, Inc 728 N Raleigh St Angier NC 27501-9134 Ph: (919) 639-0100 |
NPI Number | 1295914307 |
---|---|
Provider Enumeration Date | 10/25/2007 |
Last Update Date | 06/06/2008 |
Identifier | Type | State | Issuer |
---|---|---|---|
1295914307 | NPI | - | NPPES |
1291W | Other | NC | BCBS PROVIDER # |
891291W | Medicaid | NC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 200101219 (North Carolina) | Primary |
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