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Organization
RALEIGH DURHAM MEDICAL GROUP PA
Active
Organization
RALEIGH DURHAM MEDICAL GROUP PA
Active
Other names
Carrboro Family Medicine Center
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID K MOYE (SENIOR VICE PRESIDENT)
(919) 851-2174
Entity
Organization
Contact information
Practice address
610 JONES FERRY RD, STE 102, CARRBORO, NC 27510-6113
(919) 929-1747
(919) 929-4862
Mailing address
5400 TRINITY RD, STE 105, RALEIGH, NC 27607-6001
(919) 851-2174
(919) 854-7774
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0116E
BCBS
NC
05
—
890116E
—
NC
Enumeration date
05/16/2006
Last updated
08/22/2020
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