DIRECT MEDICAL XPERIENCE NPI 1285341834

NPI Information

NPI: 1285341834
Provider Name: DIRECT MEDICAL XPERIENCE
Classification: Clinic/Center - 261QP2300X
Entity Type: Organization

Specialization: Primary Care

CLIA Number: 34D2281449

Address:
4505 FAIR MEADOWS LN STE 215
RALEIGH, NC
ZIP 27607
Phone: (919) 944-9935
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DIRECT MEDICAL XPERIENCE is a primary care clinic center in Raleigh, NC. DIRECT MEDICAL XPERIENCE NPI is 1285341834. The provider is registered as an organization entity type.

The provider's business location address is:

4505 FAIR MEADOWS LN STE 215
RALEIGH, NC
ZIP 27607-449
Phone: (919) 944-9935

The provider's authorized official is Deaundre Alfonzo Dyer .
The authorized official title is Medical Director and has the following contact phone number (919) 944-9935.

The CLIA number assigned to this NPI record is 34D2281449 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/2/2022 and was last updated on 11/2/2022.

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			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: 5/5/2024

NPI Synchronization or Removal

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