Organization
CREEDMOOR CENTRE ENDOCRINOLOGY PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BARBARA JO ULANCH (PRACTICE MANAGER)
(919) 845-3332
Entity
Organization
Contact information
Practice address
8340 BANDFORD WAY, SUITE 001, RALEIGH, NC 27615-2755
(919) 845-3332
(919) 845-3395
Mailing address
8340 BANDFORD WAY STE 1, RALEIGH, NC 27615-2755
(919) 845-3332
(888) 714-0059
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
2006-01609
NC
363AM0700X
Medical Physician Assistant
Primary
2006-01609
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5905118
—
NC
Enumeration date
10/10/2013
Last updated
08/07/2026
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