Organization
RALEIGH DURHAM MEDICAL GROUP, PA
Active
Organization
RALEIGH DURHAM MEDICAL GROUP, PA
Active
Parent organization
RALEIGH DURHAM MEDICAL GROUP, PA
Other names
North State Medical Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
RALEIGH DURHAM MEDICAL GROUP, PA
Authorized official
DAVID MOYE (SENIOR VICE PRESIDENT)
(919) 851-2174
Entity
Organization
Contact information
Practice address
609 PROFESSIONAL DR, ROXBORO, NC 27573-4543
(336) 599-9257
(336) 599-1593
Mailing address
5420 WADE PARK BLVD, STE. 106, RALEIGH, NC 27607-4188
(919) 851-2174
(919) 854-7774
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
208000000X
Pediatrics Physician
—
—
Other
Enumeration date
03/11/2008
Last updated
03/05/2009
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