DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

THE LONGEVITY DOCTOR, PLLC

Active Organization

THE LONGEVITY DOCTOR, PLLC is a Family Medicine organization located in RALEIGH, North Carolina. NPI 1497500441 is currently active in the NPPES registry. Verify at CMS.

Family Medicine · RALEIGH, NC

Registration Details

NPI Number
1497500441
Provider Type
Organization
NPI Issued
Apr 23, 2024 (2.3113140472633 yrs)
Last Updated
Apr 23, 2024

Practice Information

Address
2810 WAKEFIELD PINES DR STE 115
RALEIGH, NC, 276147078
Browse NC providers · Browse ZIP 27614
Phone
9194173740
Primary Specialty
Family Medicine
207Q00000X
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.