Organization
RALEIGH DURHAM MEDICAL GROUP PA
Active
Parent organization
RALEIGH DURHAM MEDICAL GROUP PA
Other names
Carolina Cardiovascular Health & Fitness
Organization subpart
Yes
Provider details
NPI number
Legal business name
RALEIGH DURHAM MEDICAL GROUP PA
Authorized official
DAVID MOYE (SENIOR VP)
(919) 851-2174
Entity
Organization
Contact information
Practice address
3100 DURALEIGH RD, STE 307, RALEIGH, NC 27612-8106
(919) 232-0050
(919) 232-0060
Mailing address
5420 WADE PARK BLVD, STE 106, RALEIGH, NC 27607-4188
(919) 851-2174
(919) 854-7774
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
144TM
BCBS
NC
05
—
891137F
—
NC
Enumeration date
02/20/2007
Last updated
03/05/2009
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