Organization
RALEIGH DURHAM MEDICAL GROUP, PA
Active
Organization
RALEIGH DURHAM MEDICAL GROUP, PA
Active
Parent organization
RALEIGH DURHAM MEDICAL GROUP, PA
Other names
Larry F. Berman, MD, PC
Organization subpart
Yes
Provider details
NPI number
Legal business name
RALEIGH DURHAM MEDICAL GROUP, PA
Authorized official
DAVID MOYE (EXECUTIVE DIRECTOR)
(919) 233-5956
Entity
Organization
Contact information
Practice address
10620 PARK RD, SUITE 128, CHARLOTTE, NC 28210-8472
(704) 542-6111
(704) 542-1239
Mailing address
5420 WADE PARK BLVD, STE 106, RALEIGH, NC 27607-4188
(919) 233-5952
(919) 854-7774
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
363A00000X
Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
—
Other
Enumeration date
01/28/2016
Last updated
01/28/2016
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