| Organization Name: | RALEIGH DURHAM MEDICAL GROUP, PA |
| NPI Number: | 1023473519 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | DAVID MOYE (EXECUTIVE DIRECTOR) |
| Mailing Address: | 304 S Green St Morganton |
| State: | NC US |
| Postal Code: | 286553578 |
| Phone Number: | 8284381125 |
| Fax Number: | 8284381119 |
| NPI Enumeration Date: | 12/28/2015 |
| NPI Last Update Date: | 12/28/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |