Community Med One
Organization Active NPI Family Medicine Physician · Zebulon, NC
NPI 1194134502 · NPPES record last updated Jan 28, 2016
Key facts
- NPI
- 1194134502
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Family Medicine Physician 207Q00000X
- Legal business name
- COMMUNITY MED ONE
- Practice address
- 319 Hospital Rd
Zebulon, NC 27597-2542 - Phone
- (910) 740-3135
- NPI assigned
- Aug 11, 2014
- Organization subpart
- No
Authorized official
- Name
- Jesse Horne
- Title
- Manager
- Phone
- (910) 740-3135
Practitioners 1
-
Odinaka Idada, MHS, PA-C
National Provider Directory
Locations
319 Hospital Rd
Zebulon, NC 27597
Phone (919) 269-9144
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician |
207Q00000X | Yes |
Addresses
Primary practice location
319 Hospital Rd
Zebulon, NC 27597-2542
Mailing address
PO Box 2614
Rockingham, NC 28380-2614
Other providers in Zebulon, NC
- Christopher J Clark
- Felicia Victoria Clark
- Clearly Speaking, Inc.
- Brian Kevin Collins
- Peter Scott Comar
- Allison Comtois
- County of Wake
- Coventry House of Zebulon
- Covington Cancer Foundation
- Yulander Covington
All providers in Zebulon, NC · Family Medicine Physician in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 28, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.