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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

NPI # 1336191972
LBN Legal business name RALEIGH DURHAM MEDICAL GROUP PA
Authorized official DAVID MOYE - (CEO)
Entity Organization
Organization subpart 1 Yes
Enumeration date 05/16/2006
Last updated 08/11/2025 - About 10 months ago
Identifiers
NC Medicaid 5900351
NC Other 02067 BCBS
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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