OrganizationRaleigh Durham Medical Group Pa(<Unavail>)Family MedicineAllopathic & Osteopathic PhysiciansPractice Address2135 Valleygate Dr, Ste. 101, Fayetteville, NC 28304-3750(910) 488-2297(919) 851-2174PECOS EnrollmentBased on the most recent information from CMS, provider Raleigh Durham Medical Group Pa does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 6 days ago.Profile DetailsProvider ID1669646089Provider TypeOrganizationFull NameRaleigh Durham Medical Group PaOther Name<Unavail>SubpartYesEnumeration Date4/16/2008Last Updated4/16/2008Contact InformationPractice LocationPractice Address2135 Valleygate Dr, Ste. 101, Fayetteville, NC 28304-3750Phone(910) 488-2297Fax(910) 488-2258Mailing LocationMailing Address5400 Trinity Rd, Ste. 105, Raleigh, NC 27607-6001Phone(919) 851-2174Fax(919) 854-7774Authorized OfficialNameMoye, David K. (Senior Vp)Phone(919) 851-2174Provider TaxonomiesCodeDescriptionLicenseCode207Q00000XPrimaryDescriptionFamily MedicineAllopathic & Osteopathic PhysiciansLicenseUnlisted Issuer