Provider Demographics
NPI:1477544294
Name:CHAPEL HILL FAMILY MEDICINE, P.A.
Entity Type:Organization
Organization Name:CHAPEL HILL FAMILY MEDICINE, P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:GEORGE
Authorized Official - Middle Name:PATRICK
Authorized Official - Last Name:GUITERAS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:919-967-8130
Mailing Address - Street 1:120 CONNER DR
Mailing Address - Street 2:SUITE 200
Mailing Address - City:CHAPEL HILL
Mailing Address - State:NC
Mailing Address - Zip Code:27514-7092
Mailing Address - Country:US
Mailing Address - Phone:919-967-8291
Mailing Address - Fax:919-967-3627
Practice Address - Street 1:120 CONNER DR
Practice Address - Street 2:SUITE 200
Practice Address - City:CHAPEL HILL
Practice Address - State:NC
Practice Address - Zip Code:27514-7092
Practice Address - Country:US
Practice Address - Phone:919-967-8130
Practice Address - Fax:919-967-3627
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-11-01
Last Update Date:2009-12-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC0137AOtherBCBSNC GROUP ID
NC890137AMedicaid
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