Healthcare Provider Details

I. General information

NPI: 1992464002
Provider Name (Legal Business Name): HNI MEDICAL SERVICES OF NORTH CAROLINA, PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/16/2021
Last Update Date: 04/29/2025
Certification Date: 04/29/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3643 N ROXBORO ST FL 6
DURHAM NC
27704-2702
US

IV. Provider business mailing address

30575 BAINBRIDGE RD
SOLON OH
44139-2221
US

V. Phone/Fax

Practice location:
  • Phone: 984-569-4040
  • Fax:
Mailing address:
  • Phone: 440-542-5000
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208M00000X
TaxonomyHospitalist Physician
License Number
License Number State

VIII. Authorized Official

Name: CHAD PEW
Title or Position: VICE PRESIDENT OF OPERATIONS
Credential:
Phone: 512-730-3060