LIVE WELL PRIMARY CARE NPI 1952811267

NPI Information

LIVE WELL PRIMARY CARE 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. LIVE WELL PRIMARY CARE NPI is 1952811267. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

4822 SIX FORKS RD STE 104
RALEIGH, NC
ZIP 27609-269
Phone: (919) 618-5772

The provider's authorized official is Datanya Yvetts Betts .
The authorized official title is Ceo and has the following contact phone number (919) 618-5772.

The CLIA number assigned to this NPI record is 34D2141661 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/2/2017 and was last updated on 10/2/2017.

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:

Other Identifiers

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