Carolina Express Care Dba Zebulon Family Medicine

Organization Active NPI Family Medicine Physician · Zebulon, NC

NPI 1285718924 · NPPES record last updated Aug 22, 2020

Key facts

NPI
1285718924
Entity type
Organization (NPI type 2)
Primary specialty
Family Medicine Physician 207Q00000X
License
101583 (NC)
Legal business name
CAROLINA EXPRESS CARE DBA ZEBULON FAMILY MEDICINE
Practice address
304 Pony Rd
Zebulon, NC 27597-2529
Phone
(919) 269-8331
Fax
(919) 269-5251
NPI assigned
Oct 25, 2006
Organization subpart
No

Authorized official

Name
Dale White, PA
Title
Ceo
Phone
(919) 269-8331

Corporate family (same tax ID) 1

Organizations that report the same tax identification number in the National Provider Directory.

National Provider Directory

Tax ID family
Carolina Express Care Dba Zebulon Family Medicine (2 organizations share this tax ID)

Locations

304 Pony Rd
Zebulon, NC 27597
Phone (919) 269-8331

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician
Group: 193200000X MULTI-SPECIALTY GROUP
207Q00000X 101583 NC Yes

Addresses

Primary practice location

304 Pony Rd
Zebulon, NC 27597-2529

Mailing address

502 McKnight Dr
Knightdale, NC 27545-7050
Phone (919) 269-8331

Other identifiers

IdentifierTypeStateIssuer
5901854MedicaidNC

Other providers in Zebulon, NC

All providers in Zebulon, NC · Family Medicine Physician in North Carolina

Sources for this page

Verify at the official NPI Registry.