NPI 1154722072

Raleigh Ob/Gyn

Organisation Obstetrics & Gynecology Physician Raleigh, NC

Practice location

Address: 4414 Lake Boone Trl Suite 405, Raleigh, NC 27607-7513
Phone: (919) 876-8225
Fax: (919) 876-3371
Mailing address: 1501 Yamato Rd Suite 200 West, Boca Raton, FL 33431-4438

Authorised official

Name: Kathryn Garrett
Title: Director Managed Care
Phone: (561) 300-2410

Registered specialties

Obstetrics & Gynecology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207V00000X

Other Obstetrics & Gynecology providers in North Carolina →

Registry record

NPI: 1154722072
Entity type: Organization
NPI issued: 10 Sep 2014
Record last updated: 10 Sep 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.