Provider Demographics
NPI:1740768225
Name:IAM HEALTHCARE , PLLC
Entity Type:Organization
Organization Name:IAM HEALTHCARE , PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:FRANCIS
Authorized Official - Middle Name:
Authorized Official - Last Name:ANIEKWENSI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:919-271-4620
Mailing Address - Street 1:5509 CUMBERLAND PLAIN DR
Mailing Address - Street 2:
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27616-6372
Mailing Address - Country:US
Mailing Address - Phone:919-271-4620
Mailing Address - Fax:919-271-7958
Practice Address - Street 1:5509 CUMBERLAND PLAIN DR
Practice Address - Street 2:
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27616
Practice Address - Country:US
Practice Address - Phone:919-271-4620
Practice Address - Fax:919-271-7958
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-08-06
Last Update Date:2018-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC2006-01275207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty