Organization
VA MEDICAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. OLIVER LEE MASSEY JR. RRT (RESPIRATORY THERAPIST)
(919) 310-3712
Entity
Organization
Contact information
Practice address
6208 KRANDON DRIVE, RALEIGH, NC 27603-4928
(919) 310-3712
Mailing address
6208 KRANDON DR, RALEIGH, NC 27603-4928
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
118843
NC
Other
Enumeration date
09/17/2010
Last updated
09/17/2010
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