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Contact Information

MED ONE MEDICAL GROUP
7019-200 HARPS MILL RD.
RALEIGH, NC27615
 Phone: 919-850-1300
 Fax: 919-850-0012
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Internal Medicine

207R00000X 11 Physician/Internal Medicine
 

Adult Health

363LA2200X 50 Nurse Practitioner
 

Chiropractor

111N00000X 35 Chiropractic
 

Family

363LF0000X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for MED ONE MEDICAL GROUP · (Female)

NPI # 1548346331
Status Active
Credentials
Entity Individual
Enumeration date 10/27/2006
Last updated 03/07/2023 - About 3 years ago
Sole proprietor 1 Not specified
Identifiers
  • NC License # 0050-02018
  • NC License # 201835
  • NC License # 2394
  • NC License # 930076
  • NC Other 930076 CARA L. DAVIS LICENSE
  • NC Other 2394 G. GRUBER DC LICENSE #
  • NC Other 0050-02018 J. CHARLES ANP LISCENSE
  • NC Other 5011967 LICENSE # - KERNEY YU
  • NC Other 0010-04356 LICENSE # - TYLER CASSIDY
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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