Organization · Type 2 NPI
Old Well Medicine, PLLC
Medical Specialty Clinic/Center · Durham, NC
Practice location
5322 Nc Highway 55 Ste 102B
Durham, NC 27713-7816
Mailing address
964 High House Rd Ste 3217
Cary, NC 27513-3574
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nutritionist | 133N00000X | None listed |
| Health & Wellness Coach | 171400000X | None listed |
| Naturopath | 175F00000X | None listed |
| Pharmacist | 183500000X | None listed |
| Internal Medicine Physician | 207R00000X | None listed |
| Endocrinology, Diabetes & Metabolism Physician | 207RE0101X | None listed |
| Infusion Therapy Clinic/Center | 261QI0500X | None listed |
| Medical Specialty Clinic/Center Primary | 261QM2500X | None listed |
| Non-Pharmacy Dispensing Site | 332900000X | None listed |
Medical Specialty Clinic/Center: 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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About NPI 1255898094
Old Well Medicine, PLLC's National Provider Identifier is 1255898094, issued on Feb 28, 2019. The primary taxonomy on file is Medical Specialty Clinic/Center (261QM2500X), and the practice location is in Durham, NC. The record was last updated on Feb 17, 2024.