CREEDMOOR CENTRE MEDICAL ASSOCIATES PA NPI 1194893487

NPI Information

NPI: 1194893487
Provider Name: CREEDMOOR CENTRE MEDICAL ASSOCIATES, PA
Classification: Clinic/Center - 261QP2300X
Entity Type: Organization

Specialization: Primary Care

Address:
8311 BANDFORD WAY
SUITE 007
RALEIGH, NC
ZIP 27615
Phone: (919) 390-0400
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CREEDMOOR CENTRE MEDICAL ASSOCIATES, PA is a primary care clinic center in Raleigh, NC. CREEDMOOR CENTRE MEDICAL ASSOCIATES, PA NPI is 1194893487. The provider is registered as an organization entity type.

The provider's business location address is:

8311 BANDFORD WAY
SUITE 007
RALEIGH, NC
ZIP 27615-756
Phone: (919) 390-0400
Fax: (919) 390-0401

The provider's authorized official is Robert Craig Juer .
The authorized official title is President and has the following contact phone number (919) 383-9286.

The enumeration date for this NPI number is 12/3/2006 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	29127	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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