Organization
REX HOSPITAL INC
Active
Other names
Rex Hospital Pelvic Health Center
Organization subpart
No
Provider details
NPI number
Authorized official
BERNADETTE M SPONG (CFO)
(919) 784-3245
Entity
Organization
Contact information
Practice address
4325 LAKE BOONE TRL, RALEIGH, NC 27607-7509
(919) 784-2840
(919) 784-2841
Mailing address
4325 LAKE BOONE TRL, RALEIGH, NC 27607-7509
(919) 784-2840
(919) 784-2841
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
—
NC
2088F0040X
Urogynecology and Reconstructive Pelvic Surgery (Urology) Physician
Primary
—
NC
Other
Enumeration date
12/20/2012
Last updated
12/20/2012
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