Organization
AVALON MEDICAL GROUP
Active
Other names
Avalon Internal Medicine
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RICHARD R DILALLA (PRACTICE MANAGER)
(919) 928-1146
Entity
Organization
Contact information
Practice address
101 CONNER DR, STE 402, CHAPEL HILL, NC 27514-7038
(919) 928-1146
(919) 928-1148
Mailing address
101 CONNER DR, STE 402, CHAPEL HILL, NC 27514-7038
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
9700235
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
011P2
BC/BS
NC
05
—
89011P2
—
NC
Enumeration date
09/22/2006
Last updated
02/13/2008
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