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NPI Code Detail

MEDICARE: GEORGE RAYBURN CHEELY M.D.

MEDICARE:   GEORGE RAYBURN CHEELY  M.D.
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
1207RC0000XCardiovascular Disease Physician22220NC

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1060035476OTHERRAILROAD MEDICARE

Other Identifiers

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

General Provider Information

NPI Number : 1972508661
Entity Type Code : Individual
Provider Name (Legal Business Name) : GEORGE RAYBURN CHEELY M.D.
Provider Business Mailing Address
First Line : 3000 NEW BERN AVE
Second Line : STE 1200
City : RALEIGH
State : NC
Zip : 27610-1231
Country : US
Telephone Number : 919-231-6132
Fax Number : 919-231-6276
Provider Business Practice Location Address
First Line : 3000 NEW BERN AVE
Second Line : STE 1200
City : RALEIGH
State : NC
Zip : 27610-1231
Country : US
Telephone Number : 919-231-6132
Fax Number : 919-231-6276
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/17/2005
Last Update Date : 08/20/2010

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Directions to “ GEORGE RAYBURN CHEELY M.D.” Practice Location

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