Individual
SAMUEL RILEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
2310 ERWIN RD, DURHAM, NC 27710
(724) 612-5487
Mailing address
3400 WAKE FOREST ROAD, INPATIENT MEDICINE 4TH FLOOR, RALEIGH, NC 27609
(724) 612-5487
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
2021-01242
NC
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2021-01242
NORTH CAROLINA MEDICAL BOARD
NC
Enumeration date
04/29/2018
Last updated
04/12/2024
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