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NPI Code Detail

MEDICARE: PLANNED PARENTHOOD SOUTH ATLANTIC

MEDICARE: PLANNED PARENTHOOD SOUTH ATLANTIC
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
1261QF0050XNon-Surgical Family Planning Clinic/Center
2367A00000XAdvanced Practice Midwife

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
10211AOTHERNCBCBS OF NC
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1811033210
Entity Type Code : Organization
Provider Name (Legal Business Name) : PLANNED PARENTHOOD SOUTH ATLANTIC
Provider Business Mailing Address
First Line : 100 S BOYLAN AVE
Second Line :
City : RALEIGH
State : NC
Zip : 27603-1802
Country : US
Telephone Number : 919-833-7526
Fax Number : 919-390-1384
Provider Business Practice Location Address
First Line : 100 S BOYLAN AVE
Second Line :
City : RALEIGH
State : NC
Zip : 27603-1802
Country : US
Telephone Number : 919-833-7526
Fax Number : 919-390-1384
Authorized Official
Title or Position : DIRECTOR OF REVENUE CYCLE
Name : TEARRA ALEXANDRIA RAYNOR
Credential :
Telephone Number : 919-833-7526
Provider Enumeration Date : 01/30/2007
Last Update Date : 09/26/2024

Similar Medicare Providers

1285576272 — ALEXIS FLECK
Practice Location Address:
100 S BOYLAN AVE
RALEIGH, NC
27603-1802
Practice Phone: 919-833-7526
Practice Fax:
1407858616 — ANALISA MIRANDA LOEWEN N.P.
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1720023542 — JANIS LEIGH BLANCHARD WHNP CNM
Practice Location Address:
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Practice Fax: 919-390-1384
1497049555 — PLANNED PARENTHOOD HEALTH SYSTEMS INC
Practice Location Address:
100 S BOYLAN AVE
RALEIGH, NC
27603-1802
Practice Phone: 919-833-7534
Practice Fax: 919-833-0730
1053858357 — ADRIENNE HEATH NP
Practice Location Address:
100 S BOYLAN AVE
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Practice Fax:
1225620818 — SARAH ELIZABETH DUNN PA-C
Practice Location Address:
100 S BOYLAN AVE
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Directions to “PLANNED PARENTHOOD SOUTH ATLANTIC ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.