MEDICARE: BRIER CREEK FAMILY PRACTICE, PLLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QM1300X	Multi-Specialty Clinic/Center

General Provider Information

NPI Number	:	1366553133
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BRIER CREEK FAMILY PRACTICE, PLLC

Provider Business Mailing Address
First Line	:	3721 LYNN RD
Second Line	:	SUITE 104
City	:	RALEIGH
State	:	NC
Zip	:	27613-3854
Country	:	US
Telephone Number	:	910-574-2175
Fax Number	:

Provider Business Practice Location Address
First Line	:	3721 LYNN RD
Second Line	:	SUITE 104
City	:	RALEIGH
State	:	NC
Zip	:	27613-3854
Country	:	US
Telephone Number	:	910-574-2175
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT/OWNER
Name	:	DR. DAWN VALAIRE QUASHIE
Credential	:	MD
Telephone Number	:	910-574-2175

Provider Enumeration Date	:	08/31/2006
Last Update Date	:	07/21/2022

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