Provider profile · NPI 1679355531

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Clinic/Center · Raleigh, NC · NPI 1679355531 · No federal exclusion match

✔ Verified against the public CMS NPPES registry & HHS-OIG LEIE as of Jun 21, 2026. Source-linked, daily-refreshed. Public data only — no PHI.

Registry details

Type

Organization

Primary specialty

Clinic/Center

Enumerated

Oct 16, 2023

License(s)

Addresses on file

PurposeAddressCity/StatePhone
MAILING4320 BLAND RD Raleigh, NC 27609-6125919-322-2858
LOCATION4320 BLAND RD Raleigh, NC 27609-6125919-322-2858

View on NPPES registry ↗

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