CAPITAL FAMILY MEDICINE P.A. NPI 1124007620

NPI Information

NPI: 1124007620
Provider Name: CAPITAL FAMILY MEDICINE, P.A.
Classification: Clinic/Center - 261QP2300X
Entity Type: Organization

Specialization: Primary Care

CLIA Number: 34D0240655

Address:
3320 EXECUTIVE DR
SUITE 214
RALEIGH, NC
ZIP 27609
Phone: (919) 878-8596
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CAPITAL FAMILY MEDICINE, P.A. is a primary care clinic center in Raleigh, NC. CAPITAL FAMILY MEDICINE, P.A. NPI is 1124007620. The provider is registered as an organization entity type.

The provider's business location address is:

3320 EXECUTIVE DR
SUITE 214
RALEIGH, NC
ZIP 27609-445
Phone: (919) 878-8596
Fax: (919) 878-0744

The provider's authorized official is Richard J Forsyth .
The authorized official title is President and has the following contact phone number (919) 878-8596.

The CLIA number assigned to this NPI record is 34D0240655 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/12/2006 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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QP2300X	Clinic/Center	Primary Care	40821	NORTH CAROLINA	Yes

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: 11/14/2023

NPI Synchronization or Removal

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