Organization
SOUTHEASTERN IMAGING CONSULTANTS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RAYMOND F EVELAND (MEMBER)
(336) 202-5593
Entity
Organization
Contact information
Practice address
3100 DURALEIGH RD, SUITE 101, RALEIGH, NC 27612-8104
(919) 785-9091
(919) 785-9776
Mailing address
PO BOX 16573, CHAPEL HILL, NC 27516-6573
(919) 967-6646
(919) 967-6647
Taxonomy
Speciality
Code
Description
License number
State
2085B0100X
Body Imaging Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
015G6
BLUE CROSS/BLUE SHIELD
NC
05
—
89015G6
—
NC
Enumeration date
06/11/2006
Last updated
01/13/2009
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