Raleigh Durham Medical Group PA
Surgery, Pediatric Surgery in Cary, NC. Organization (NPI-2).
NPI number1164024857
StatusActive
Last updated in NPPESMar 7, 2025
Details
- NPI
- 1164024857
- Entity type
- Organization (NPI-2)
- Legal business name
- Raleigh Durham Medical Group PA
- Organization subpart
- Yes
- Enumeration date
- Nov 9, 2020
- Certification date
- Mar 7, 2025
- Last updated
- Mar 7, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2086S0120X | Surgery, Pediatric Surgery | – | – | Yes |
Other names
- Carolina Pediatric Surgery (Doing Business As)
Practice location
600 New Waverly Pl Ste 203Cary, NC 27518-7404
Phone 919-858-7020 · Fax 919-859-5695
Mailing address
Po Box 96860Charlotte, NC 28296-6860
Phone 919-233-5952 · Fax 312-324-7850
Authorized official
David Moye
Executive Director
9196140301
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