Avalon Internal Medicine

LBN: Avalon Medical Group
Avalon Internal Medicine is an health care organization with primary practice located at 101 Conner Dr Ste 402, Chapel Hill NC 27514-7038. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. Avalon Medical Group can be contacted via phone (919) 928-1146, or through Dilalla, Richard R via phone (919) 928-1146.

Contact Information

Primary practice address
101 Conner Dr Ste 402 Chapel Hill NC 27514-7038
Phone: (919) 928-1146
Fax: (919) 928-1148
Website:
Map and Directions
Authorized official contact:
Name: Dilalla, Richard R
Phone: (919) 928-1146

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 9700235 North Carolina

Profile Details

NPI number 1033218045
LBN Legal business name Avalon Medical Group
DBA Doing business as Avalon Internal Medicine
Authorized official Dilalla, Richard R
Entity Organization
Organization subpart 1 No
Enumeration date Sep 22nd, 2006
Last updated Feb 13th, 2008 - about 16 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1033218045 NPPES
North Carolina Other 011P2 BC/BS
North Carolina MEDICAID 89011P2 BC/BS

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