Leesville Internal Medicine, Pa

NPI 1205965217 - Clinic/Center - 261QP2300X

NPI Details
NPI 1205965217
Enumeration Date 03/05/2007
Last Updated 08/30/2011
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name AHMAD B AHMAD
Position OWNER
Phone (919) 881-0691
Fax (919) 881-0692
Practice Location
5816 CREEDMOOR RD
SUITE 105
RALEIGH NC, 27612-2310, US
Phone (919) 881-0691
Fax (919) 881-0692
Business Location
5816 CREEDMOOR RD
SUITE 105
RALEIGH NC, 27612-2310, US
Phone (919) 881-0691
Fax (919) 881-0692
Toxanomy
Taxonomy Code 261QP2300X
License State North Carolina
License Number 9701241
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According to our database, Leesville Internal Medicine, Pa NPI is 1205965217, taxonomy code is 261QP2300X and license number is 9701241, license state is located at North Carolina. Leesville Internal Medicine, Pa physically located at 5816 Creedmoor Rd, Raleigh NC, 27612-2310. NPI Number 1033115704 has the healthcare provider type.

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1205965217 NPI number is provided on an as is basis without warranty of any kind. 1205965217 is maintained by the National Plan & Provider Enumeration System. The contents of Leesville Internal Medicine, Pa are for informational purposes only.