Organization
CAROLINA CENTER FOR RESTORATIVE MEDICINE
Active
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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