RALEIGH DURHAM MEDICAL GROUP PA NPI 1164024857

NPI Information

NPI: 1164024857
Provider Name: RALEIGH DURHAM MEDICAL GROUP PA

Doing Business As: CAROLINA PEDIATRIC SURGERY

Classification: Surgery - 2086S0120X
Entity Type: Organization

Specialization: Pediatric Surgery

Address:
600 NEW WAVERLY PL STE 203
CARY, NC
ZIP 27518
Phone: (919) 858-7020
Get Directions

RALEIGH DURHAM MEDICAL GROUP PA is a pediatric surgery surgery in Cary, NC. The provider is a surgeon with expertise in the management of surgical conditions in premature and newborn infants, children and adolescents. RALEIGH DURHAM MEDICAL GROUP PA NPI is 1164024857. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Carolina Pediatric Surgery.

The provider's business location address is:

600 NEW WAVERLY PL STE 203
CARY, NC
ZIP 27518-404
Phone: (919) 858-7020
Fax: (919) 859-5695

The provider's authorized official is David Moye .
The authorized official title is Executive Director and has the following contact phone number (919) 614-0301.

The enumeration date for this NPI number is 11/9/2020 and was last updated on 7/16/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2086S0120X	Surgery	Pediatric Surgery			Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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