Organization
RALEIGH CAPITOL EAR, NOSE, AND THROAT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNY C BEAL COPM (BILLING MANAGER)
(919) 809-8140
Entity
Organization
Contact information
Practice address
4600 LAKE BOONE TRL, RALEIGH, NC 27607-7528
(919) 787-1374
(919) 420-2028
Mailing address
4600 LAKE BOONE TRL, RALEIGH, NC 27607-7528
(919) 787-1374
(919) 571-8135
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PE-YPU8T38FA
—
NC
Enumeration date
03/01/2012
Last updated
05/04/2026
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