Raleigh Ob/gyn

NPI 1154722072 - Obstetrics & Gynecology - 207V00000X

NPI Details
NPI 1154722072
Enumeration Date 09/10/2014
Last Updated 09/10/2014
Entity Type Healthcare Provider
Active Over 2 years ago
Authorized Information
Name KATHRYN KATHRYN
Position DIRECTOR MANAGED CARE
Phone (919) 876-8225
Fax (919) 876-3371
Practice Location
4414 LAKE BOONE TRL
SUITE 405
RALEIGH NC, 27607-7513, US
Phone (919) 876-8225
Fax (919) 876-3371
Business Location
1501 YAMATO RD
SUITE 200 WEST
BOCA RATON FL, 33431-4438, US
Phone (561) 300-2410
Fax (561) 953-4146
Toxanomy
Taxonomy Code 207V00000X
License State
License Number
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According to our database, Raleigh Ob/gyn NPI is 1154722072, taxonomy code is 207V00000X Raleigh Ob/gyn physically located at 4414 Lake Boone Trl, Raleigh NC, 27607-7513. NPI Number 1033115704 has the healthcare provider type.

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1154722072 NPI number is provided on an as is basis without warranty of any kind. 1154722072 is maintained by the National Plan & Provider Enumeration System. The contents of Raleigh Ob/gyn are for informational purposes only.