Individual
RAGHID BITAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
101 CLINIC DRIVE, TARBORO, NC 27886-1593
(252) 823-2105
Mailing address
101 CLINIC DR, TARBORO, NC 27886-1935
(252) 823-2105
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
2008-00701
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2022579A
MEDICARE INDIVIDUAL PTAN
NC
05
—
5909862
—
NC
Enumeration date
04/24/2007
Last updated
08/05/2010
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