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

Raleigh Durham Medical Group PA

Organization Non-Pharmacy Dispensing Site · NPI 1710331640

Raleigh Durham Medical Group PA is a Non-Pharmacy Dispensing Site in Raleigh, North Carolina. Licensed in North Carolina. Registered with an NPI since 2016.

Licensed in
NC
In the registry since
2016
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

8020 Creedmoor Rd
Raleigh, NC 27613-4363
Phone: (919) 322-2844
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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 0010-02907 (NC)

Record details

NPI number1710331640
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationMedvantx, Inc
Authorized official Kenny Heine — Vp Of Operations · (858) 964-1506
Other names Family Wellness Clinic Raleigh
NPI enumeratedApril 18, 2016
Last updated in NPPESApril 18, 2016
Mailing address9276 Scranton Rd, Suite 100, San Diego, CA 92121-7701

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