# GEORGE L RAAD MD DBA

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Park Road Medical Clinic
- **Organization subpart:** No

## Provider details

- **NPI number:** 1508811530
- **Authorized official:** GEORGE L RAAD MD (OWNER)
- **Authorized official phone:** (704) 523-2565

## Contact information

- **Practice address:** 1700 ABBEY PL, STE 200 PARK ROAD MEDICAL CLINIC, CHARLOTTE, NC 28209-3742
- **Practice address phone:** (704) 523-2565
- **Practice address fax:** (704) 344-1241
- **Mailing address:** PO BOX 66, WHITE SULPHUR SPRINGS, WV 24986-0066
- **Mailing address phone:** (304) 536-5030
- **Mailing address fax:** (304) 536-5031

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 27283 | NC | Yes |

## Other

- **Enumeration date:** 05/25/2006
- **Last updated:** 08/23/2019