Whalio Doctors

NPI 1619220431

Premiere Sports

Organisation Health Educator Raleigh, NC

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
Other Service Providers Taxonomy 174H00000X

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.