Individual
DR. DONNA GREY ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4414 LAKE BOONE TRAIL, SUITE 103, RALEIGH, NC 27607
(919) 787-0266
(919) 571-9314
Mailing address
4414 LAKE BOONE TRAIL, SUITE 103, RALEIGH, NC 27607
(919) 787-0266
(919) 571-9314
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
28937
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
012U3
BCBS
NC
05
—
79012U3
—
NC
Enumeration date
05/16/2006
Last updated
03/30/2021
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