Individual
DR. EILEEN MARGOLIES RAYNOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1000 TRENT DR, DURHAM, NC 27710-0001
(919) 684-8111
Mailing address
4101 N ROXBORO ST, DURHAM, NC 27704-2121
(919) 620-5041
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
2009-00984
NC
207Y00000X
Otolaryngology Physician
ME76279
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000799422A
—
GA
05
—
2543460-00
—
FL
01
—
300089958
RAILROAD MEDICARE
FL
Enumeration date
03/18/2006
Last updated
06/15/2009
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