Organization
CAROLINA CENTER FOR RESTORATIVE MEDICINE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS STEPHENIA BENITA JEFFRIES (PRACTICE MANAGER)
(919) 803-4268
Entity
Organization
Contact information
Practice address
809 SPRING FOREST RD, SUITE 100, RALEIGH, NC 27609-9198
(919) 803-4268
(919) 977-1381
Mailing address
809 SPRING FOREST RD, SUITE 100, RALEIGH, NC 27609-9700
(919) 803-4268
(919) 977-1381
Taxonomy
Speciality
Code
Description
License number
State
2083P0500X
Preventive Medicine/Occupational Environmental Medicine Physician
Primary
36330
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
23469
BCBS
NC
05
—
8923469
—
NC
Enumeration date
12/19/2016
Last updated
12/19/2016
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