NPI 1093958399

North Wake Internal Medicine Associates

Organisation Non-Pharmacy Dispensing Site Raleigh, NC

Practice location

Address: 10000 Falls of Neuse Rd Suite 201, Raleigh, NC 27614-7838
Phone: (919) 848-6946
Mailing address: 5810 Nancy Ridge Dr Suite 100, San Diego, CA 92121-2834

Authorised official

Name: Kenny Heine
Title: Director of Operations
Phone: (858) 625-2990

Registered specialties

Non-Pharmacy Dispensing Site Primary

Suppliers Taxonomy 332900000X Licence 200000708 (NC)

Other Non-Pharmacy Dispensing Site providers in North Carolina →

Registry record

NPI: 1093958399
Entity type: Organization
NPI issued: 16 Apr 2009
Record last updated: 16 Apr 2009

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.