| Central Carolina-ima, LLC | |
|
1139 Carthage St Ste 110 Sanford NC 27330-4111 | |
| (919) 774-2195 | |
| (919) 776-8131 |
| Full Name | Central Carolina-ima, LLC |
|---|---|
| Speciality | Internal Medicine |
| Location | 1139 Carthage St, Sanford, North Carolina |
| Authorized Official Name and Position | Wesley O. James (REGIONAL CFO, TENET) |
| Authorized Official Contact | 4042655009 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Central Carolina-ima, LLC Po Box 742790 Atlanta GA 30374-2790 Ph: (919) 774-2195 | Central Carolina-ima, LLC 1139 Carthage St Ste 110 Sanford NC 27330-4111 Ph: (919) 774-2195 |
| NPI Number | 1144658311 |
|---|---|
| Provider Enumeration Date | 10/24/2013 |
| Last Update Date | 05/26/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144658311 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | () | Primary |
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