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Contact Information

RALEIGH DURHAM MEDICAL GROUP PA
97 CORNERSTONE DR
CARY, NC27519
 Phone: 919-460-0993
 Fax: 919-481-3952
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatrics

208000000X 37 Physician/Pediatric Medicine
Indicates primary specialty

NPI Profile & details for RALEIGH DURHAM MEDICAL GROUP PA · (Female)

NPI Number 1336191972
Status Active
Credentials
Entity Individual
Enumeration date 05/16/2006
Last updated 08/11/2025 - About 10 months ago
Sole proprietor 1 Not specified
Identifiers
  • NC Medicaid 5900351
  • NC Other 02067 BCBS
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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