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Organization

RALEIGH DURHAM MEDICAL GROUP, PA

Active
Parent organization
RALEIGH DURHAM MEDICAL GROUP, PA
Other names
North Wake Pediatrics
Organization subpart
Yes

Provider details

NPI number
Legal business name
RALEIGH DURHAM MEDICAL GROUP, PA
Authorized official
DAVID MOYE (EXECUTIVE DIRECTOR)
(919) 233-5952
Entity
Organization

Contact information

Practice address
10010 FALLS OF NEUSE RD, STE 100, RALEIGH, NC 27614-8494
(919) 848-2167
(919) 848-2168
Mailing address
5420 WADE PARK BLVD, STE 106, RALEIGH, NC 27607-4188
(919) 233-5952
(919) 854-7774

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary

Other

Enumeration date
10/28/2015
Last updated
10/28/2015
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