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Organization

RALEIGH DURHAM MEDICAL GROUP PA

Active
Parent organization
RALEIGH DURHAM MEDICAL GROUP PA
Other names
CAROLINA PEDIATRIC SURGERY
Organization subpart
Yes

Provider details

NPI number
Legal business name
RALEIGH DURHAM MEDICAL GROUP PA
Authorized official
DAVID MOYE (EXECUTIVE DIRECTOR)
(919) 614-0301
Entity
Organization

Contact information

Practice address
600 NEW WAVERLY PL STE 203, CARY, NC 27518-7404
(919) 858-7020
(919) 859-5695
Mailing address
PO BOX 96860, CHARLOTTE, NC 28296-6860
(919) 233-5952
(312) 324-7850

Taxonomy

Speciality
Code
Description
License number
State
2086S0120X
Pediatric Surgery Physician
Primary

Other

Enumeration date
11/09/2020
Last updated
03/07/2025
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