# FAMILY MEDICAL ASSOCIATES OF RALEIGH, PA

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1619099256
- **Authorized official:** CHERYL PROCTOR MSN, RN, FNP-BC (PRACTICE ADMINISTRATOR)
- **Authorized official phone:** (919) 875-8150

## Contact information

- **Practice address:** 3500 BUSH ST, RALEIGH, NC 27609-7509
- **Practice address phone:** (919) 875-8150
- **Practice address fax:** (919) 875-9577
- **Mailing address:** 3500 BUSH ST, RALEIGH, NC 27609-7509
- **Mailing address phone:** (919) 875-8150
- **Mailing address fax:** (919) 875-9577

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 04/04/2007
- **Last updated:** 01/06/2020