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CAROLINA CENTER FOR INTEGRATIVE MEDICINE NPI 1104047877


NPI Information

NPI: 1104047877
Provider Name: CAROLINA CENTER FOR INTEGRATIVE MEDICINE
Classification: Preventive Medicine - 2083P0500X
Entity Type: Organization

Specialization: Preventive Medicine/Occupational Environmental Medicine

Address:
4505 FAIR MEADOWS LN
SUITE 111
RALEIGH, NC
ZIP 27607
Phone: (919) 571-4391
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CAROLINA CENTER FOR INTEGRATIVE MEDICINE is a preventive medicine/occupational environmental medicine preventive medicine in Raleigh, NC. The provider is a preventive medicine physician who specializes in preventive medicine/occupational-environmental medicine, which is focused on protecting the population from occupational and environmental conditions. CAROLINA CENTER FOR INTEGRATIVE MEDICINE NPI is 1104047877. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

4505 FAIR MEADOWS LN
SUITE 111
RALEIGH, NC
ZIP 27607-465
Phone: (919) 571-4391
Fax: (919) 571-8968

The provider's authorized official is Renee Pilgrim .
The authorized official title is Practice Manager and has the following contact phone number (919) 571-4391.

The enumeration date for this NPI number is 5/1/2007 and was last updated on 8/22/2020.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12083P0500XPreventive MedicinePreventive Medicine/Occupational Environmental Medicine31614NORTH CAROLINAYes

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: 4/28/2024

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