Organization
HD TREATMENT CENTER OF RALEIGH PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ANTHONY IANNACIO (AUTHORIZED OFFICIAL)
(336) 932-7956
Entity
Organization
Contact information
Practice address
4601 LAKE BOONE TRL, SUITE 1D, RALEIGH, NC 27607-7503
(336) 932-7956
Mailing address
PO BOX 16206, CHAPEL HILL, NC 27516-6206
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
04/27/2011
Last updated
09/21/2011
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