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UNC PHYSICIANS NETWORK LLC NPI 1376841874


NPI Information

NPI: 1376841874
Provider Name: UNC PHYSICIANS NETWORK, LLC

Doing Business As: REX FAMILY PRACTICE OF WAKEFIELD

Classification: Family Medicine - 207Q00000X
Entity Type: Organization

CLIA Number: 34D2011119

Address:
11200 GOVERNOR MANLY WAY STE 205
RALEIGH, NC
ZIP 27614
Phone: (919) 570-7700
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UNC PHYSICIANS NETWORK, LLC is a family medicine in Raleigh, 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. UNC PHYSICIANS NETWORK, LLC NPI is 1376841874. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Rex Family Practice Of Wakefield.

The provider's business location address is:

11200 GOVERNOR MANLY WAY STE 205
RALEIGH, NC
ZIP 27614-367
Phone: (919) 570-7700
Fax: (919) 570-7701

The provider's authorized official is Lynne Christine Fiscus .
The authorized official title is Cmo and has the following contact phone number (984) 215-4111.

The CLIA number assigned to this NPI record is 34D2011119 - ancillary test site with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/8/2011 and was last updated on 8/14/2019.


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
1207Q00000XFamily MedicineYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11376841874MEDICAIDNORTH 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: 11/14/2023

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