OrganizationRaleigh Durham Medical Group Pa(<Unavail>)Family MedicineAllopathic & Osteopathic PhysiciansPractice Address405 Owen Dr, Fayetteville, NC 28304-3411(910) 323-3183(866) 557-2612PECOS 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 5 days ago.Profile DetailsProvider ID1871327080Provider TypeOrganizationFull NameRaleigh Durham Medical Group PaOther Name<Unavail>SubpartYesEnumeration Date8/29/2024Last Updated3/7/2025Contact InformationPractice LocationPractice Address405 Owen Dr, Fayetteville, NC 28304-3411Phone(910) 323-3183FaxUnlisted FaxMailing LocationMailing AddressPO Box 96860, Charlotte, NC 28296-6860Phone(866) 557-2612FaxUnlisted FaxAuthorized OfficialNameBowie, Melanie M (Provider Enrollment Representative)Phone(919) 580-3236Provider TaxonomiesCodeDescriptionLicenseCode207Q00000XPrimaryDescriptionFamily MedicineAllopathic & Osteopathic PhysiciansLicenseUnlisted Issuer