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 1912243189

Raleigh Durham Medical Group PA is a Non-Pharmacy Dispensing Site in Roxboro, North Carolina. Licensed in North Carolina. Registered with an NPI since 2012.

Licensed in
NC
In the registry since
2012
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

107 Weeks Dr
Roxboro, NC 27573-3933
Phone: (336) 598-5480
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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 104138 (NC)

Record details

NPI number1912243189
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationMedvantx, Inc
Authorized official Kenny Heine — Vp Ops · (858) 964-1506
Other names Roxboro Family Medicine
NPI enumeratedDecember 17, 2012
Last updated in NPPESDecember 17, 2012
Mailing address5626 Oberlin Dr, 110, San Diego, CA 92121-1705

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