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Organization
PLANNED PARENTHOOD SOUTH ATLANTIC
Active
Organization
PLANNED PARENTHOOD SOUTH ATLANTIC
Active
Other names
Planned Parenthood Health Systems
Organization subpart
No
Provider details
NPI number
Authorized official
TEARRA ALEXANDRIA RAYNOR (DIRECTOR OF REVENUE CYCLE)
(919) 833-7526
Entity
Organization
Contact information
Practice address
522 GRAND CENTRAL AVE, VIENNA, WV 26105-2169
(304) 295-3331
(304) 295-4924
Mailing address
100 S BOYLAN AVE, RALEIGH, NC 27603-1802
(919) 833-7534
(919) 833-0730
Taxonomy
Speciality
Code
Description
License number
State
261QF0050X
Non-Surgical Family Planning Clinic/Center
—
NULL
363L00000X
Nurse Practitioner
Primary
—
NULL
363L00000X
Nurse Practitioner
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0008073000
—
WV
Enumeration date
01/30/2007
Last updated
05/28/2024
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