Organization
RELYMD MEDICAL GROUP, LLC
Active
Other names
RelyMD Medical Group
Organization subpart
No
Provider details
NPI number
Authorized official
RONALD MICHAEL CREATORE (CFO)
(919) 932-0928
Entity
Organization
Contact information
Practice address
1920 THOMES AVE STE 610, CHEYENNE, WY 82001-3548
(919) 932-0928
Mailing address
510 MEADOWMONT VILLAGE CIR STE 323, CHAPEL HILL, NC 27517-7584
(919) 932-0928
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2020-000937164
WYOMING SECRETARY OF STATE IDENTIFICATION NUMBER
WY
Enumeration date
08/19/2020
Last updated
10/18/2020
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