Provider Demographics
NPI:1083001333
Name:DOOLEY RHEUMATOLOGY PLLC
Entity Type:Organization
Organization Name:DOOLEY RHEUMATOLOGY PLLC
Other - Org Name:MARY ANNE DOOLEY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:SOLE PRACTITIONER
Authorized Official - Prefix:DR
Authorized Official - First Name:MARY ANNE
Authorized Official - Middle Name:
Authorized Official - Last Name:DOOLEY
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:919-306-3776
Mailing Address - Street 1:810 GREENWOOD RD
Mailing Address - Street 2:
Mailing Address - City:CHAPEL HILL
Mailing Address - State:NC
Mailing Address - Zip Code:27514-3908
Mailing Address - Country:US
Mailing Address - Phone:919-306-3776
Mailing Address - Fax:919-929-7991
Practice Address - Street 1:55 VIACOM CENTER DRIVE
Practice Address - Street 2:SUITE 110
Practice Address - City:CHAPEL HILL
Practice Address - State:NC
Practice Address - Zip Code:27514
Practice Address - Country:US
Practice Address - Phone:919-929-7990
Practice Address - Fax:919-929-7991
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-04-23
Last Update Date:2015-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC32310261QM1300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM1300XAmbulatory Health Care FacilitiesClinic/CenterMulti-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC28928OtherBCBS NORTH CAROLINA
NC8928928Medicaid
NC213005CMedicare Oscar/Certification
NC28928OtherBCBS NORTH CAROLINA