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Individual

JAMES ARTHUR MONG

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
4414 LAKE BOONE TRL, STE 210, RALEIGH, NC 27607-7505
(919) 571-1040
(919) 781-0247
Mailing address
4414 LAKE BOONE TRL, STE 210, RALEIGH, NC 27607-7505
(919) 571-1040
(919) 781-0247

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
27069
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
60001
BCBS
05
8960001
NC
Enumeration date
06/14/2005
Last updated
08/07/2014
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