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Organization
RELYMD MEDICAL GROUP, LLC
Active
Organization
RELYMD MEDICAL GROUP, LLC
Active
Other names
RelyMD Medical Group
Organization subpart
No
Provider details
NPI number
Authorized official
RONALD MICHAEL CREATORE (CFO)
(919) 932-0928
Entity
Organization
Contact information
Practice address
1920 THOMES AVE STE 610, CHEYENNE, WY 82001-3548
(919) 932-0928
Mailing address
510 MEADOWMONT VILLAGE CIR STE 323, CHAPEL HILL, NC 27517-7584
(919) 932-0928
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2020-000937164
WYOMING SECRETARY OF STATE IDENTIFICATION NUMBER
WY
Enumeration date
08/19/2020
Last updated
10/18/2020
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