Heritage Internal Medicine, Pllc

NPI 1457638645 - Specialist - 174400000X

NPI Details
NPI 1457638645
Enumeration Date 11/16/2011
Last Updated 11/16/2011
Entity Type Healthcare Provider
Active Over 5 years ago
Authorized Information
Name SOL JIMENEZ SOL
Position MANAGER
Phone (919) 435-0380
Fax
Practice Location
2824 ROGERS RD
SUITE 100
WAKE FOREST NC, 27587-3895, US
Phone (919) 435-0380
Fax
Business Location
305 HIDDEN LAKE DR
YOUNGSVILLE NC, 27596-7471, US
Phone (919) 435-0380
Fax
Toxanomy
Taxonomy Code 174400000X
License State North Carolina
License Number 200701946
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According to our database, Heritage Internal Medicine, Pllc NPI is 1457638645, taxonomy code is 174400000X and license number is 200701946, license state is located at North Carolina. Heritage Internal Medicine, Pllc physically located at 2824 Rogers Rd, Wake Forest NC, 27587-3895. NPI Number 1033115704 has the healthcare provider type.

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1457638645 NPI number is provided on an as is basis without warranty of any kind. 1457638645 is maintained by the National Plan & Provider Enumeration System. The contents of Heritage Internal Medicine, Pllc are for informational purposes only.