RALEIGH FAMILY PRACTICE P.A. NPI 1255592283

NPI Information

RALEIGH FAMILY PRACTICE, P.A. is a non pharmacy dispensing site in Raleigh, NC. The provider is a site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.) RALEIGH FAMILY PRACTICE, P.A. NPI is 1255592283. The provider is registered as an organization entity type.

The provider's business location address is:

4414 LAKE BOONE TRL
502
RALEIGH, NC
ZIP 27607-513
Phone: (919) 875-0539

The provider's authorized official is Kenny Heine .
The authorized official title is Director Of Operations and has the following contact phone number (858) 625-2990.

The CLIA number assigned to this NPI record is 34D0953471 - physician office with a certificate type of Certificate of Accreditation.

The enumeration date for this NPI number is 6/23/2008 and was last updated on 10/22/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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