Heritage Internal Medicine, Pllc
NPI #1457638645 in Wake Forest, North Carolina
Provider Information
- NPI Number
- 1457638645
- Entity Type
- Organization
- Organization Name
- Heritage Internal Medicine, Pllc
- Primary Specialty
- Specialist
- Enumeration Date
- Nov 16, 2011
- Last Updated
- Nov 16, 2011
Practice Location
- Address
- 2824 ROGERS RD
- Address 2
- SUITE 100
- City
- Wake Forest
- State
- North Carolina
- ZIP Code
- 27587-3895
- Phone
- (919) 435-0380
Authorized Official
- Name
- DR. SOL JIMENEZ GAZZINGAN, M.D.
- Title
- MANAGER
- Phone
- (919) 435-0380
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist |
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