Harvardmed Family Practice, Inc
Organization Active NPI Family Medicine Physician · Angier, NC
NPI 1295914307 · NPPES record last updated Jun 6, 2008
Key facts
- NPI
- 1295914307
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 200101219 (NC)
- Legal business name
- HARVARDMED FAMILY PRACTICE, INC
- Practice address
- 728 N Raleigh St
Angier, NC 27501-9134 - Phone
- (919) 639-0100
- Fax
- (919) 639-0313
- NPI assigned
- Oct 25, 2007
- Organization subpart
- No
Authorized official
- Name
- Dr. Mariyam A Hussain, M.D.
- Title
- Owner
- Phone
- (919) 639-0100
National Provider Directory
Locations
728 N Raleigh St
Angier, NC 27501
Phone (919) 639-0100
2136 N Main St
Fuquay Varina, NC 27526
Phone (919) 567-1607
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician |
207Q00000X | 200101219 | NC | Yes |
Addresses
Primary practice location
728 N Raleigh St
Angier, NC 27501-9134
Mailing address
PO Box 1110
Angier, NC 27501-1110
Phone (919) 639-0100
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1291W | Other | NC | BCBS PROVIDER # |
| 891291W | Medicaid | NC |
Other providers in Angier, NC
- Julie Gray
- Donna Green
- Tambryme Hamilton-Simmons
- Hart Integrated Wellness Services, PLLC
- Nancy Harte
- Thomas David Hawley
- Rochelle Hearns
- Grace Adel Heimensen
- Lauren Hill
- Nancy Waff Hodgson
All providers in Angier, 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 Jun 6, 2008. 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.