Clayton Internal Medicine Pc

LBN: Clayton Internal Medicine Pc
Clayton Internal Medicine Pc is an health care organization with primary practice located at 301 Amos St , Clayton NC 27520-2644. The organization recently has only one registered license in Ambulatory Health Care Facilities / Medical Specialty, which is considered as the primary health care specialty. Clayton Internal Medicine Pc can be contacted via phone (919) 550-6336, or through Khusayem, Mazen via phone (919) 550-6336.

Contact Information

Primary practice address
301 Amos St Clayton NC 27520-2644
Phone: (919) 550-6336
Fax: (919) 550-0180
Website:
Map and Directions
Authorized official contact:
Name: Khusayem, Mazen Doctor of Medicine (MD)
Phone: (919) 550-6336

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Medical Specialty 261QM2500X 9900898 North Carolina

Profile Details

NPI number 1366658833
LBN Legal business name Clayton Internal Medicine Pc
DBA Doing business as
Authorized official Khusayem, Mazen Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date May 14th, 2007
Last updated Jan 22nd, 2013 - about 11 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1366658833 NPPES
North Carolina MEDICAID 89126XV

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