Organization
RALEIGH MEDICAL GROUP, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ASHLEY R HEWLIN (PRACTICE IMPLEMENTATION MANAGER)
(919) 341-3623
Entity
Organization
Contact information
Practice address
3700 BARRETT DR STE 300, RALEIGH, NC 27609-7213
(919) 782-1806
(919) 782-4756
Mailing address
PO BOX 18563, RALEIGH, NC 27619-8563
(919) 782-1806
(919) 782-1669
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
207RG0100X
Gastroenterology Physician
—
—
207RH0003X
Hematology & Oncology Physician
—
—
207RR0500X
Rheumatology Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01112
BCBS
NC
05
—
8901112
—
NC
Enumeration date
01/29/2007
Last updated
06/05/2025
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