SENTINEL PRIMARY CARE NPI 1508318114

NPI Information

SENTINEL PRIMARY CARE is a primary care clinic center in Raleigh, NC. SENTINEL PRIMARY CARE NPI is 1508318114. The provider is registered as an organization entity type.

The provider's business location address is:

10208 CERNY ST
SUITE 308
RALEIGH, NC
ZIP 27617-884
Phone: (919) 797-0550

The provider's authorized official is Patrick O'connell .
The authorized official title is Executive Director, Board Member and has the following contact phone number (919) 797-0550.

The CLIA number assigned to this NPI record is 34D2130335 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/30/2016 and was last updated on 5/2/2017.

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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