Anderson, Donna Grey
Anderson, Donna Grey is an individual health care provider with primary practice located at 4414 Lake Boone Trail Suite 103, Raleigh NC 27607. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Anderson, Donna Grey can be contacted via phone (919) 787-0266.Contact Information
Primary practice address
4414 Lake Boone Trail Suite 103
Raleigh NC 27607
Phone: (919) 787-0266
Fax: (919) 571-9314
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 28937 | North Carolina |
Profile Details
| NPI number | 1972555399 |
|---|---|
| LBN Legal business name | Anderson, Donna Grey |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 16th, 2006 |
| Last updated | Mar 30th, 2021 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1972555399 | NPPES |
| North Carolina | MEDICAID | 79012U3 | |
| North Carolina | Other | 012U3 |
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