NPI 1063829463

Raleigh Durham Medical Group, PA

Organisation Family Medicine Physician Wilmington, NC

Practice location

Address: 1915 S 16th St, Wilmington, NC 28401-6610
Phone: (910) 343-8191
Fax: (910) 251-8006
Mailing address: 5420 Wade Park Blvd STE 106, Raleigh, NC 27607-4188

Authorised official

Name: David Moye
Title: Executive Director
Phone: (919) 851-2174

Registered specialties

Family Medicine Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207Q00000X

Other Family Medicine providers in North Carolina →

Registry record

NPI: 1063829463
Entity type: Organization
NPI issued: 17 Jul 2014
Record last updated: 17 Jul 2014

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.