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FREEDOM2CARE DPC PLLC NPI 1437760345


NPI Information

NPI: 1437760345
Provider Name: FREEDOM2CARE DPC, PLLC
Classification: Clinic/Center - 261QP2300X
Entity Type: Organization

Specialization: Primary Care

CLIA Number: 34D2193399

Address:
515 KEISLER DR STE 102
CARY, NC
ZIP 27518
Phone: (984) 200-9001
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FREEDOM2CARE DPC, PLLC is a primary care clinic center in Cary, NC. FREEDOM2CARE DPC, PLLC NPI is 1437760345. The provider is registered as an organization entity type.

The provider's business location address is:

515 KEISLER DR STE 102
CARY, NC
ZIP 27518-097
Phone: (984) 200-9001
Fax: (200) 984-5352

The provider's authorized official is Bouasy Ly Huneycutt .
The authorized official title is President and has the following contact phone number (984) 200-9001.

The CLIA number assigned to this NPI record is 34D2193399 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/13/2020 and was last updated on 8/13/2020.


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
1261QP2300XClinic/CenterPrimary CareYes

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

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