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130 Carthage St # 1b Sanford NC 27330-4203 | |
(919) 684-8111 | |
Not Available |
Full Name | |
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Speciality | General Practice |
Location | 130 Carthage St # 1b, Sanford, North Carolina |
Authorized Official Name and Position | Christopher Thomas Frederick (CFO) |
Authorized Official Contact | 9196137762 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Po Box 110566 Durham NC 27709-5566 Ph: (919) 620-4855 | 130 Carthage St # 1b Sanford NC 27330-4203 Ph: (919) 684-8111 |
NPI Number | 1881740611 |
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Provider Enumeration Date | 01/26/2007 |
Last Update Date | 07/11/2022 |
Identifier | Type | State | Issuer |
---|---|---|---|
1881740611 | NPI | - | NPPES |
0268Y | Other | NC | BCBS |
Taxonomy | Type | License (State) | Status |
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208D00000X | General Practice | (North Carolina) | Primary |
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