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Organization

RALEIGH DURHAM MEDICAL GROUP PA

Active
Parent organization
RALEIGH DURHAM MEDICAL GROUP PA
Other names
Cornerstone Pediatric & Adolescent Medicine
Organization subpart
Yes

Provider details

NPI number
Legal business name
RALEIGH DURHAM MEDICAL GROUP PA
Authorized official
DAVID K MOYE (CEO)
(919) 614-0301
Entity
Organization

Contact information

Practice address
97 CORNERSTONE DR, CARY, NC 27519
(919) 460-0993
(919) 481-3952
Mailing address
PO BOX 96860, CHARLOTTE, NC 28296-6860
(919) 233-5952
(312) 324-7850

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
02067
BCBS
NC
05
5900351
NC
Enumeration date
05/16/2006
Last updated
08/11/2025
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