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NPI Code Detail

MEDICARE: RALEIGH DURHAM MEDICAL GROUP PA

MEDICARE: RALEIGH DURHAM MEDICAL GROUP 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
1363LF0000XFamily Nurse Practitioner
2363L00000XNurse Practitioner
3207VG0400XGynecology Physician
4103TC0700XClinical Psychologist
5207Q00000XFamily Medicine Physician

General Provider Information

NPI Number : 1831066208
Entity Type Code : Organization
Provider Name (Legal Business Name) : RALEIGH DURHAM MEDICAL GROUP PA
Provider Business Mailing Address
First Line : PO BOX 96860
Second Line :
City : CHARLOTTE
State : NC
Zip : 28296-6860
Country : US
Telephone Number : 866-557-2612
Fax Number : 919-854-7774
Provider Business Practice Location Address
First Line : 2414 EMERALD PL
Second Line :
City : GREENVILLE
State : NC
Zip : 27834-5784
Country : US
Telephone Number : 252-757-3939
Fax Number : 252-757-3973
Authorized Official
Title or Position : MD
Name : JING ZHANG
Credential :
Telephone Number : 919-859-5650
Provider Enumeration Date : 10/21/2025
Last Update Date : 11/04/2025

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