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 Family Medicine Physician · NPI 1720458326

Raleigh Durham Medical Group, PA is a Family Medicine Physician in Shallotte, North Carolina. Registered with an NPI since 2015.

In the registry since
2015
Specialties on file
2
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

4748 Main St
Shallotte, NC 28470
Phone: (910) 754-2273
Fax: (910) 754-2254
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X
Family Nurse Practitioner Taxonomy 363LF0000X

Record details

NPI number1720458326
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationRaleigh Durham Medical Group, PA
Authorized official David Moye — Executive Director · (919) 233-5956
Other names Seaside Wellness Of Shallotte
NPI enumeratedSeptember 25, 2015
Last updated in NPPESApril 1, 2016
Mailing address5420 Wade Park Blvd, Ste 106, Raleigh, NC 27607-4188

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