NPI 1134665789

Southeast Primary Care, PLLC

Organisation General Practice Physician Raleigh, NC

Practice location

Address: 1911 Falls Valley Dr Suite 105, Raleigh, NC 27615-2495
Phone: (919) 249-4600
Mailing address: 2007 Patapsco Dr, Apex, NC 27523-3922

Authorised official

Name: Leslie Roderic Baker
Title: President
Phone: (828) 230-5915

Registered specialties

General Practice Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208D00000X

Other General Practice providers in North Carolina →

Registry record

NPI: 1134665789
Entity type: Organization
NPI issued: 6 Jan 2017
Record last updated: 6 Jan 2017

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.