Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Old Well Medicine, PLLC

Organization Nutritionist · NPI 1255898094

Old Well Medicine, PLLC is a Nutritionist in Durham, North Carolina. Registered with an NPI since 2019.

In the registry since
2019
Specialties on file
9
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

5322 Nc Highway 55 Ste 102B
Durham, NC 27713-7816
Phone: (919) 944-4404
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Specialty Clinic/Center (primary) Taxonomy 261QM2500X
Nutritionist Taxonomy 133N00000X
Health & Wellness Coach Taxonomy 171400000X
Naturopath Taxonomy 175F00000X
Pharmacist Taxonomy 183500000X
Internal Medicine Physician Taxonomy 207R00000X
Endocrinology, Diabetes & Metabolism Physician Taxonomy 207RE0101X
Infusion Therapy Clinic/Center Taxonomy 261QI0500X
Non-Pharmacy Dispensing Site Taxonomy 332900000X

Record details

NPI number1255898094
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Amit Patel — Manager · (919) 495-6777
Other names Old Well Health; Old Well Health
NPI enumeratedFebruary 28, 2019
Last updated in NPPESFebruary 17, 2024
Certification dateFebruary 17, 2024
Mailing address964 High House Rd Ste 3217, Cary, NC 27513-3574

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