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Organization

LS OF RALEIGH

Active
Parent organization
THE PREVENTION GROUP
Organization subpart
Yes

Provider details

NPI number
Legal business name
THE PREVENTION GROUP
Authorized official
KRISTEN SPADUZZI (DIRECTOR OF CENTER OPERATIONS)
(919) 457-0340
Entity
Organization

Contact information

Practice address
10208 CERNY ST, SUITE 210, RALEIGH, NC 27617-7884
(919) 457-0340
(919) 806-2123
Mailing address
10208 CERNY ST, SUITE 210, RALEIGH, NC 27617-7884

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
200100941
NC

Other

Enumeration date
02/16/2011
Last updated
02/16/2011
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