Healthcare Provider Details

I. General information

NPI: 1659517993
Provider Name (Legal Business Name): UNCOMMON CARE PA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/16/2008
Last Update Date: 10/07/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9633 BITTER MELON DR
ANGIER NC
27501
US

IV. Provider business mailing address

9633 BITTER MELON DR
ANGIER NC
27501
US

V. Phone/Fax

Practice location:
  • Phone: 919-639-8900
  • Fax: 919-639-9500
Mailing address:
  • Phone: 919-639-8900
  • Fax: 919-639-9500

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QU0200X
TaxonomyUrgent Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: EDWIN P. YAEGER JR.
Title or Position: OWNER
Credential: D.O.
Phone: 919-616-4161