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NPI Code Detail

MEDICARE: GERIANEE OCTAVIA WARD

MEDICARE: GERIANEE OCTAVIA WARD
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
1363A00000XPhysician Assistant0010-16150NC

General Provider Information

NPI Number : 1841151172
Entity Type Code : Individual
Provider Name (Legal Business Name) : GERIANEE OCTAVIA WARD
Provider Business Mailing Address
First Line : 3801 BARRETT DR
Second Line :
City : RALEIGH
State : NC
Zip : 27609-7224
Country : US
Telephone Number : 919-870-8409
Fax Number : 877-622-8953
Provider Business Practice Location Address
First Line : 3801 BARRETT DR
Second Line :
City : RALEIGH
State : NC
Zip : 27609-7224
Country : US
Telephone Number : 919-870-8409
Fax Number : 877-622-8953
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/18/2025
Last Update Date : 01/15/2026

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Directions to “ GERIANEE OCTAVIA WARD ” Practice Location

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