NPI 1619220431
Premiere Sports
Practice location
- Address
- 2245 Garner Rd, Raleigh, NC 27610-4609
- Phone
- (919) 270-0821
Authorised official
- Name
- Dwayne West
- Title
- Executive Director
- Phone
- (919) 270-0821
Registered specialties
Health Educator
Primary
Registry record
- NPI
- 1619220431
- Entity type
- Organization
- NPI issued
- 17 Oct 2012
- Record last updated
- 17 Oct 2012
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.