Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Raleigh Durham Medical Group PA

Organization Non-Pharmacy Dispensing Site · NPI 1164865416

Raleigh Durham Medical Group PA is a Non-Pharmacy Dispensing Site in Clayton, North Carolina. Licensed in North Carolina. Registered with an NPI since 2013.

Licensed in
NC
In the registry since
2013
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

2076 Highway 42 W Ste 230
Clayton, NC 27520
Phone: (919) 553-5711
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Non-Pharmacy Dispensing Site (primary) Taxonomy 332900000X · Licence 200400430 (NC)

Record details

NPI number1164865416
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationMedvantx, Inc
Authorized official Kenny Heine — Vp Of Operations · (858) 964-1506
Other names Family Wellness Clinic
NPI enumeratedApril 16, 2013
Last updated in NPPESApril 16, 2013
Mailing address5626 Oberlin Dr, Suite 110, San Diego, CA 92121-1705

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