Raleigh Geriatrics, P.A.
Internal Medicine, Geriatric Medicine in Raleigh, NC. Organization (NPI-2).
NPI number1104939628
StatusActive
Last updated in NPPESDec 11, 2015
Details
- NPI
- 1104939628
- Entity type
- Organization (NPI-2)
- Legal business name
- Raleigh Geriatrics, P.A.
- Organization subpart
- No
- Enumeration date
- Aug 17, 2006
- Last updated
- Dec 11, 2015
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207RG0300X | Internal Medicine, Geriatric Medicine | 9900551 | NC | Yes |
Practice location
3921 Sunset Ridge RdSuite 101
Raleigh, NC 27607-6677
Phone 919-782-7576 · Fax 919-782-7573
Mailing address
Po Box 10750Raleigh, NC 27605-0750
Phone 919-782-7576 · Fax 919-782-7573
Authorized official
Martin Janis
President
9197827576
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