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CENTRE OB/GYN NPI 1457752305


NPI Information

NPI: 1457752305
Provider Name: CENTRE OB/GYN
Classification: Obstetrics & Gynecology - 207V00000X
Entity Type: Organization

CLIA Number: 34D0985922

Address:
4414 LAKE BOONE TRL
SUITE 205
RALEIGH, NC
ZIP 27607
Phone: (919) 788-4444
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CENTRE OB/GYN is an obstetrics gynecology in Raleigh, NC. The provider is an obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. CENTRE OB/GYN NPI is 1457752305. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

4414 LAKE BOONE TRL
SUITE 205
RALEIGH, NC
ZIP 27607-513
Phone: (919) 788-4444
Fax: (919) 781-5053

The provider's authorized official is Kathryn Garrett .
The authorized official title is Director Managed Care and has the following contact phone number (561) 300-2410.

The CLIA number assigned to this NPI record is 34D0985922 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 9/10/2014 and was last updated on 9/10/2014.


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
1207V00000XObstetrics & GynecologyYes

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: 4/28/2024

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