| Raleigh Adult Medicine Pa | |
|
3200 Blue Ridge Rd Ste 210 Raleigh NC 27612-8086 | |
| (919) 781-9979 | |
| (919) 781-0124 |
| Full Name | Raleigh Adult Medicine Pa |
|---|---|
| Speciality | Internal Medicine |
| Location | 3200 Blue Ridge Rd, Raleigh, North Carolina |
| Authorized Official Name and Position | Georgia Hogan (PRACTICE ADMINISTRATOR) |
| Authorized Official Contact | 9197819979 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Raleigh Adult Medicine Pa 3200 Blue Ridge Rd Ste 210 Raleigh NC 27612-8086 Ph: (919) 781-9979 | Raleigh Adult Medicine Pa 3200 Blue Ridge Rd Ste 210 Raleigh NC 27612-8086 Ph: (919) 781-9979 |
| NPI Number | 1902840762 |
|---|---|
| Provider Enumeration Date | 06/15/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902840762 | NPI | - | NPPES |
| 02360 | Other | NC | BCBS NC GROUP NUMBER |
| 5902360 | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
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