Individual
MR. GORDON KENNEDY MIDDLETON JR.
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1321 OBERLIN RD, A, RALEIGH, NC 27608-2052
(919) 828-4747
(919) 828-6765
Mailing address
1321 OBERLIN RD, A, RALEIGH, NC 27608-2052
(919) 828-4747
(919) 828-6765
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
10174
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8958793
—
NC
Enumeration date
02/09/2006
Last updated
07/08/2007
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