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Raleigh Durham Medical Group — NPI 1821338195, Raleigh, NC | NPI Central

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NPI 1821338195

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Raleigh Durham Medical Group

NPI 1821338195 · Non-Pharmacy Dispensing Site · Raleigh, NC

Provider details

NPI number: 1821338195
Entity type: Organization
Primary specialty: Non-Pharmacy Dispensing SiteSuppliers
Parent organization: Medvantx, Inc.
Organization subpart: Yes
Authorized official: Kenny Heine, Vp Ops(858) 964-1506
License: 940116 (NC)

Specialties & taxonomies

Non-Pharmacy Dispensing SitePrimary332900000XLicense 940116 (NC)
Suppliers

Practice location

701 Exposition Pl

Suite 208

Raleigh, NC 27615-3300

Phone: (919) 791-2900

Approximate (ZIP-level) locationGet directions

More NC providers

Mailing address

5626 Oberlin Dr

San Diego, CA 92121-1705

Other names (DBA / former)

Doing business as: Neuse Valley Internal Medicine

Registry dates

Enumerated: 2013-02-25
Last updated: 2013-02-25

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.