Organization
PLANNED PARENTHOOD SOUTH ATLANTIC
Active
Other names
Planned Parenthood Health Systems
Organization subpart
No
Provider details
NPI number
Authorized official
TEARRA ALEXANDRIA RAYNOR (DIRECTOR OF REVENUE CYCLE)
(919) 833-7526
Entity
Organization
Contact information
Practice address
522 GRAND CENTRAL AVE, VIENNA, WV 26105-2169
(304) 295-3331
(304) 295-4924
Mailing address
100 S BOYLAN AVE, RALEIGH, NC 27603-1802
(919) 833-7534
(919) 833-0730
Taxonomy
Speciality
Code
Description
License number
State
261QF0050X
Non-Surgical Family Planning Clinic/Center
—
—
363L00000X
Nurse Practitioner
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0008073000
—
WV
Enumeration date
01/30/2007
Last updated
05/28/2024
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