RALEIGH DURHAM MEDICAL GROUP PA is a non pharmacy dispensing site in Raleigh, NC. The provider is a site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.) RALEIGH DURHAM MEDICAL GROUP PA NPI is 1710331640. The provider is registered as an organization entity type.
The provider Is Doing Business As Family Wellness Clinic Raleigh.
The provider's business location address is:
8020 CREEDMOOR RD
RALEIGH, NC
ZIP 27613-363
Phone: (919) 322-2844
The provider's authorized official is Kenny Heine .
The authorized official title is Vp Of Operations and has the following contact phone number (858) 964-1506.
The CLIA number assigned to this NPI record is 34D2108977 - physician office with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 4/18/2016 and was last updated on 4/18/2016.