| Organization Name: | RALEIGH DURHAM MEDICAL GROUP, PA |
| NPI Number: | 1194096289 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | DAVID MOYE (EXECUTIVE DIRECTOR) |
| Mailing Address: | 107 Weeks Dr Roxboro |
| State: | NC US |
| Postal Code: | 275733933 |
| Phone Number: | 3365985480 |
| Fax Number: | 3365985482 |
| NPI Enumeration Date: | 01/20/2012 |
| NPI Last Update Date: | 02/05/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 207VG0400X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Obstetrics & Gynecology |
| Taxonomy Specialization: | Gynecology |
| Taxonomy Definition: | |