| Raleigh Durham Medical Group, Pa | |
| 
					211 W Matthews St Ste 102 Matthews NC 28105-1309  | |
| (704) 708-4301 | |
| (704) 708-4389 | 
| Full Name | Raleigh Durham Medical Group, Pa | 
|---|---|
| Speciality | Family Medicine | 
| Location | 211 W Matthews St, Matthews, North Carolina | 
| Authorized Official Name and Position | David K Moye (EXECUTIVE DIRECTOR) | 
| Authorized Official Contact | 9192335952 | 
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. | 
| Mailing Address | Practice Location Address | 
|---|---|
| Raleigh Durham Medical Group, Pa 5420 Wade Park Blvd Ste 106 Raleigh NC 27607-4188 Ph: (919) 233-5952  | Raleigh Durham Medical Group, Pa 211 W Matthews St Ste 102 Matthews NC 28105-1309 Ph: (704) 708-4301  | 
| NPI Number | 1053656132 | 
|---|---|
| Provider Enumeration Date | 11/30/2012 | 
| Last Update Date | 02/05/2014 | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1053656132 | NPI | - | NPPES | 
| 027M3 | Other | NC | BCBS | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary | 
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