RALEIGH DURHAM MEDICAL GROUP PA NPI 1912243189

NPI Information

NPI: 1912243189
Provider Name: RALEIGH DURHAM MEDICAL GROUP PA

Doing Business As: ROXBORO FAMILY MEDICINE

Classification: Non-Pharmacy Dispensing Site - 332900000X
Entity Type: Organization
Address:
107 WEEKS DR
ROXBORO, NC
ZIP 27573
Phone: (336) 598-5480
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RALEIGH DURHAM MEDICAL GROUP PA is a non pharmacy dispensing site in Roxboro, 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 1912243189. The provider is registered as an organization entity type.
The provider Is Doing Business As Roxboro Family Medicine.

The provider's business location address is:

107 WEEKS DR
ROXBORO, NC
ZIP 27573-933
Phone: (336) 598-5480

The provider's authorized official is Kenny Heine .
The authorized official title is Vp Ops and has the following contact phone number (858) 964-1506.

The enumeration date for this NPI number is 12/17/2012 and was last updated on 12/17/2012.

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	332900000X	Non-Pharmacy Dispensing Site		104138	NORTH CAROLINA	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

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