OrganizationActive
Centers for Advanced Urology, LLC
NPI 1952867095 · Non-Pharmacy Dispensing Site · Raleigh, NC
Provider details
- NPI number
- 1952867095
- Entity type
- Organization
- Primary specialty
- Non-Pharmacy Dispensing SiteSuppliers
- Organization subpart
- No
- Authorized official
- Joanie Cochran, Credentialing Agent(336) 306-9755
Specialties & taxonomies
Suppliers
Practice location
3821 Ed Dr
Raleigh, NC 27612-8038
Phone: (919) 390-3978
Fax: (919) 390-7393
Approximate (ZIP-level) locationGet directions
Mailing address
3821 Ed Dr
Raleigh, NC 27612-8038
Registry dates
- Enumerated
- 2019-02-13
- Last updated
- 2025-11-10
- Certified
- 2025-11-10
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.