Provider Demographics
NPI:1174268452
Name:MYERS, FILOMENA MADAYAG (MD)
Entity Type:Individual
Prefix:DR
First Name:FILOMENA
Middle Name:MADAYAG
Last Name:MYERS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2625 APPLIANCE CT
Mailing Address - Street 2:
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27604-2468
Mailing Address - Country:US
Mailing Address - Phone:984-328-8038
Mailing Address - Fax:
Practice Address - Street 1:2625 APPLIANCE CT
Practice Address - Street 2:
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27604-2468
Practice Address - Country:US
Practice Address - Phone:984-328-8038
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-05-02
Last Update Date:2022-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA00024494208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice