Healthcare Provider Details

I. General information

NPI: 1306268594
Provider Name (Legal Business Name): SOLLUS HEALTH, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/08/2014
Last Update Date: 01/08/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

547 KEISLER DR STE 103
CARY NC
27518-9309
US

IV. Provider business mailing address

3239 DUKE HOMESTEAD RD
DURHAM NC
27705-2764
US

V. Phone/Fax

Practice location:
  • Phone: 919-349-1839
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number200701056
License Number StateNC
# 2
Primary TaxonomyN
Taxonomy Code2080A0000X
TaxonomyPediatric Adolescent Medicine Physician
License Number200701056
License Number StateNC

VIII. Authorized Official

Name: JAMEELAH MELTON
Title or Position: PHYSICIAN/OWNER
Credential: MD
Phone: 919-349-1839