Organization
RALEIGH DURHAM MEDICAL GROUP, PA
Active
Parent organization
RALEIGH DURHAM MEDICAL GROUP, PA
Other names
WNC Hypertension & Wellness Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
RALEIGH DURHAM MEDICAL GROUP, PA
Authorized official
DAVID MOYE (EXECUTIVE DIRECTOR)
(919) 851-2174
Entity
Organization
Contact information
Practice address
200 CHARLOTTE ST, ASHEVILLE, NC 28801-1923
(828) 258-9068
(828) 253-7826
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
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
023MP
BCBS
NC
05
—
5915439
—
NC
Enumeration date
05/21/2010
Last updated
02/05/2014
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