Organization · Type 2 NPI

Raleigh Durham Medical Group PA

Family Medicine Physician · Shallotte, NC

NPI number 1811817422 Active

Practice location

4503 Main St Ste 1
Shallotte, NC 28470-4583

Fax (910) 754-2254

Mailing address

PO Box 96860
Charlotte, NC 28296-6860

Specialties and licenses

TaxonomyCodeLicense
Family Medicine Physician Primary 207Q00000XNone listed
Family Nurse Practitioner 363LF0000XNone listed

Family Medicine Physician: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

3 other providers at this address

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About NPI 1811817422

Raleigh Durham Medical Group PA's National Provider Identifier is 1811817422, issued on Jul 16, 2026. The primary taxonomy on file is Family Medicine Physician (207Q00000X), and the practice location is in Shallotte, NC. The record was last updated on Jul 16, 2026.