Organization
HEREDITARY CARE CENTER
Active
Parent organization
GYNECOLOGY & LAPAROSCOPIC SURGEONS, PC
Other names
Hereditary Care Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
GYNECOLOGY & LAPAROSCOPIC SURGEONS, PC
Authorized official
DR. LISA M ROBERTS M.D. (MEDICAL DIRECTOR)
(919) 847-7475
Entity
Organization
Contact information
Practice address
10941 RAVEN RIDGE RD, SUITE 107, RALEIGH, NC 27614-6487
(919) 256-2526
(919) 847-7471
Mailing address
10941 RAVEN RIDGE RD, SUITE 107, RALEIGH, NC 27614-6487
(919) 256-2526
(919) 847-7471
Taxonomy
Speciality
Code
Description
License number
State
170300000X
Genetic Counselor (M.S.)
—
—
207VG0400X
Gynecology Physician
9701567
NC
261QG0250X
Genetics Clinic/Center
Primary
—
—
Other
Enumeration date
03/24/2016
Last updated
03/24/2016
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