Organization
RALEIGH DURHAM MEDICAL GROUP, PA
Active
Parent organization
RALEIGH DURHAM MEDICAL GROUP, PA
Other names
Leesville Internal Medicine
Organization subpart
Yes
Provider details
NPI number
Legal business name
RALEIGH DURHAM MEDICAL GROUP, PA
Authorized official
DAVID MOYE (EXECUTIVE DIRECTOR)
(919) 851-2174
Entity
Organization
Contact information
Practice address
5816 CREEDMOOR RD, STE 105, RALEIGH, NC 27612-2310
(919) 881-0691
(919) 881-0692
Mailing address
5420 WADE PARK BLVD, STE 106, RALEIGH, NC 27607-4188
(919) 233-5952
(919) 854-7774
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
10/27/2014
Last updated
10/27/2014
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