| Carolina Park Medical Center Pllc | |
|
984 Thompson St Suite E2 Pittsboro NC 27312 | |
| (919) 533-4804 | |
| (919) 704-8552 |
| Full Name | Carolina Park Medical Center Pllc |
|---|---|
| Speciality | General Practice |
| Location | 984 Thompson St, Pittsboro, North Carolina |
| Authorized Official Name and Position | Ajay K Ajmani (PRESIDENT) |
| Authorized Official Contact | 9197745911 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Carolina Park Medical Center Pllc Po Box 400 Sanford NC 27331-0400 Ph: (919) 533-4804 | Carolina Park Medical Center Pllc 984 Thompson St Suite E2 Pittsboro NC 27312 Ph: (919) 533-4804 |
| NPI Number | 1154740561 |
|---|---|
| Provider Enumeration Date | 04/14/2014 |
| Last Update Date | 12/14/2015 |
| Medicare PECOS PAC ID | 1052538105 |
|---|---|
| Medicare Enrollment ID | O20140813001152 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154740561 | NPI | - | NPPES |
| Provider Name | Ajay Kumar Ajmani |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1811998867 PECOS PAC ID: 0143399246 Enrollment ID: I20080515000277 |
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