# CAPITAL MEDICAL GROUP

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

## Provider details

- **NPI number:** 1700908647
- **Authorized official:** MRS. RUTH WATKINS (PRACTICE MANAGER)
- **Authorized official phone:** (919) 878-3655

## Contact information

- **Practice address:** 3509 CAPITAL BLVD, SUITE 101, RALEIGH, NC 27604-3325
- **Practice address phone:** (919) 878-3655
- **Practice address fax:** (919) 878-3647
- **Mailing address:** PO BOX 41213, RALEIGH, NC 27629-1213
- **Mailing address phone:** (919) 878-3655
- **Mailing address fax:** (919) 878-3647

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QP2300X | Primary Care Clinic/Center | — | NC | Yes |

## Other

- **Enumeration date:** 04/04/2007
- **Last updated:** 07/21/2022