Individual
RICHARD CARLYLE RAYNOR SR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
AGACNP
Contact information
Practice address
2645 MERIDIAN PKWY STE 323, DURHAM, NC 27713-4232
(984) 227-8902
Mailing address
118 THORNEWOOD DR, CARY, NC 27518-9733
(919) 539-5297
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
5007650
NC
Other
Enumeration date
06/29/2015
Last updated
04/19/2023
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