Individual
JENNIFER L RALEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3000 NEW BERN AVE, RALEIGH, NC 27610-1295
(843) 237-3378
(919) 350-8000
Mailing address
8 OAK PARK DR, BEDFORD, MA 01730-1414
(781) 280-1699
(781) 276-6411
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
9901296
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1268F
BCBS
NC
05
—
891268F
—
NC
01
—
930102935
RAILROAD
NC
05
—
Q01296
—
SC
Enumeration date
04/04/2006
Last updated
04/30/2021
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