Healthcare Provider Details
I. General information
NPI: 1063948297
Provider Name (Legal Business Name): RDMG ASSOCIATES, PA
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 05/09/2017
Last Update Date: 11/04/2025
Certification Date: 11/04/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
144 RESERVATION DR
SPINDALE NC
28160-1566
US
IV. Provider business mailing address
PO BOX 96860
CHARLOTTE NC
28296-6860
US
V. Phone/Fax
- Phone: 828-287-0200
- Fax: 828-287-8755
- Phone: 919-233-5952
- Fax: 312-324-7850
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 363LF0000X |
| Taxonomy | Family Nurse Practitioner |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 363L00000X |
| Taxonomy | Nurse Practitioner |
| License Number | |
| License Number State | |
| # 3 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207Q00000X |
| Taxonomy | Family Medicine Physician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
DAVID
MOYE
Title or Position: EXECUTIVE DIRECTOR
Credential:
Phone: 919-614-0301