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GARNER FAMILY PRACTICE PA NPI 1700841103


NPI Information

NPI: 1700841103
Provider Name: GARNER FAMILY PRACTICE PA
Classification: Family Medicine - 207Q00000X
Entity Type: Organization

CLIA Number: 34D2161658

Address:
801 POOLE DR
GARNER, NC
ZIP 27529
Phone: (919) 779-1440
Get Directions

GARNER FAMILY PRACTICE PA is a family medicine in Garner, NC. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. GARNER FAMILY PRACTICE PA NPI is 1700841103. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

801 POOLE DR
GARNER, NC
ZIP 27529
Phone: (919) 779-1440
Fax: (919) 662-0613

The provider's authorized official is Julia Wall .
The authorized official title is Office Manager and has the following contact phone number (919) 779-0811.

The CLIA number assigned to this NPI record is 34D2161658 - pharmacy with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/19/2006 and was last updated on 11/19/2009.


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:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207Q00000XFamily Medicine40380NORTH CAROLINAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1230680MEDICARE ID-TYPE UNSPECIFIED
289013M8MEDICAIDNORTH CAROLINA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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