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Organization
RALEIGH DURHAM MEDICAL GROUP PA
Active
Organization
RALEIGH DURHAM MEDICAL GROUP PA
Active
Parent organization
RALEIGH DURHAM MEDICAL GROUP PA
Other names
Bull City Family Medicine and Pediatrics
Organization subpart
Yes
Provider details
NPI number
Legal business name
RALEIGH DURHAM MEDICAL GROUP PA
Authorized official
DAVID K MOYE (EXECTIVE DIRECTOR)
(919) 614-0301
Entity
Organization
Contact information
Practice address
4020 N ROXBORO ST STE 100, DURHAM, NC 27704-2592
(919) 220-3333
(919) 220-6317
Mailing address
PO BOX 96860, CHARLOTTE, NC 28296-6860
(919) 233-5952
(312) 324-7850
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
207R00000X
Internal Medicine Physician
—
—
208000000X
Pediatrics Physician
—
—
363A00000X
Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
—
363LF0000X
Family Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01995
BCBS
NC
05
—
5900353
—
NC
Enumeration date
05/15/2006
Last updated
03/27/2026
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