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NPI Code Detail

MEDICARE: RDMG ASSOCIATES PA

MEDICARE: RDMG ASSOCIATES PA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1208000000XPediatrics Physician
2363L00000XNurse Practitioner
3363A00000XPhysician Assistant
4207Q00000XFamily Medicine Physician

General Provider Information

NPI Number : 1306397807
Entity Type Code : Organization
Provider Name (Legal Business Name) : RDMG ASSOCIATES PA
Provider Business Mailing Address
First Line : PO BOX 63103
Second Line :
City : CHARLOTTE
State : NC
Zip : 28263-3103
Country : US
Telephone Number : 919-233-5952
Fax Number : 312-324-7850
Provider Business Practice Location Address
First Line : 107 WEEKS DR
Second Line :
City : ROXBORO
State : NC
Zip : 27573-3929
Country : US
Telephone Number : 336-598-5480
Fax Number : 336-598-5482
Authorized Official
Title or Position : DIRECTOR
Name : DAVID MOYE
Credential :
Telephone Number : 919-614-0301
Provider Enumeration Date : 10/19/2016
Last Update Date : 07/16/2021

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Directions to “RDMG ASSOCIATES PA ” Practice Location

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