Organization
RALEIGH UROLOGY PA
Active
Organization
RALEIGH UROLOGY PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOSEPH MICHAEL KHOURY (OWNER)
(919) 571-6460
Entity
Organization
Contact information
Practice address
4201 LAKE BOONE TRL STE 205, RALEIGH, NC 27607-7511
(919) 571-6460
Mailing address
4201 LAKE BOONE TRL STE 205, RALEIGH, NC 27607-7511
(919) 571-6460
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
38995
NC
Other
Enumeration date
02/20/2008
Last updated
07/07/2010
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