Individual
DR. MARY J RAAB
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
600 MOYE BLVD, LEO JENKINS CANCER SERVICES, GREENVILLE, NC 27834-4300
(252) 744-1888
(252) 744-7005
Mailing address
PO BOX 751069, CHARLOTTE, NC 28275-1069
(252) 744-3253
(252) 744-3194
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
22268
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
69752
BCBS NC
NC
01
—
830002854
RAILROAD MEDICARE
NC
05
—
8969752
—
NC
Enumeration date
09/27/2005
Last updated
12/06/2011
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