Organization
MED ONE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TIFFANY CONNER (BILLING MANAGER)
(919) 850-1300
Entity
Organization
Contact information
Practice address
2431 SPRING FOREST RD STE 111, RALEIGH, NC 27615-7525
(919) 850-1300
Mailing address
2431 SPRING FOREST RD STE 111, RALEIGH, NC 27615-7525
(919) 850-1300
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
252852
NC
Other
Enumeration date
11/27/2013
Last updated
11/27/2013
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