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Organization

RALEIGH DURHAM MEDICAL GROUP PA

Active
Parent organization
RALEIGH DURHAM MEDICAL GROUP PA
Other names
Neuse Valley Internal Medicine
Organization subpart
Yes

Provider details

NPI number
Legal business name
RALEIGH DURHAM MEDICAL GROUP PA
Authorized official
DAVID K MOYE (EXECUTIVE DIRECTOR)
(919) 851-2174
Entity
Organization

Contact information

Practice address
701 EXPOSITION PL, STE 218, RALEIGH, NC 27615-3300
(919) 791-2900
(919) 845-2568
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

Other identifiers
Code
Description
Identifier
Issuer
State
01
026XT
BCBS
NC
Enumeration date
01/25/2007
Last updated
02/05/2014
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