NPI 1710331640
Raleigh Durham Medical Group PA
Practice location
- Address
- 8020 Creedmoor Rd, Raleigh, NC 27613-4363
- Phone
- (919) 322-2844
- Mailing address
- 9276 Scranton Rd Suite 100, San Diego, CA 92121-7701
Authorised official
- Name
- Kenny Heine
- Title
- Vp of Operations
- Phone
- (858) 964-1506
Registered specialties
Non-Pharmacy Dispensing Site
Primary
Registry record
- NPI
- 1710331640
- Entity type
- Organization
- NPI issued
- 18 Apr 2016
- Record last updated
- 18 Apr 2016
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.