Organization
RETFALVI INTERNATIONAL, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. STEPHANIE M CARROLL (BILLING MANAGER)
(919) 901-2586
Entity
Organization
Contact information
Practice address
3019 FALSTAFF RD, RALEIGH, NC 27610-1812
(919) 250-7000
Mailing address
3407 BRIDGETON PARK DR, RALEIGH, NC 27612-4150
(919) 901-2586
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
89127ET
—
NC
Enumeration date
08/08/2018
Last updated
08/08/2018
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