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OLD WELL MEDICINE, PLLC

Medical Specialty

An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).

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Contact Information

OLD WELL MEDICINE, PLLC
5322 NC HIGHWAY 55 STE 102B
DURHAM, NC  27713-7816
 Phone: 919-944-4404
 Fax:
 Website:
 

Specialty

 Taxonomy Code Specialty Code Provider Type

Medical Specialty

 261QM2500X
 

Endocrinology, Diabetes & Metabolism

 207RE0101X 11 Physician/Internal Medicine
 

Health & Wellness Coach

 171400000X
 

Infusion Therapy

 261QI0500X
 

Internal Medicine

 207R00000X 11 Physician/Internal Medicine
 

Naturopath

 175F00000X
 

Non-Pharmacy Dispensing Site

 332900000X 87 All Other Suppliers
 

Nutritionist

 133N00000X
 

Pharmacist

 183500000X
Indicates primary specialty

NPI Profile & details for OLD WELL MEDICINE, PLLC

NPI Number 1255898094
LBN Legal business name OLD WELL MEDICINE, PLLC
Authorized official AMIT PATEL - (MANAGER)
Entity Organization
Organization subpart 1 No
Enumeration date 02/28/2019
Last updated 02/17/2024 - About 2 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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