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Organization
UNC PHYSICIANS NETWORK, LLC
Active
Organization
UNC PHYSICIANS NETWORK, LLC
Active
Other names
Clinton Medical Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT LOUIS GIANFORCARO D.O. (DIRECTOR)
(910) 592-6011
Entity
Organization
Contact information
Practice address
403 FAIRVIEW ST, CLINTON, NC 28328-2311
(910) 592-6011
(910) 592-0811
Mailing address
1600 PERIMETER PARK DR, SUITE #225, MORRISVILLE, NC 27560-8421
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
NC
208000000X
Pediatrics Physician
—
NC
363A00000X
Physician Assistant
—
NC
363L00000X
Nurse Practitioner
—
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5919555
—
NC
05
—
5919704
—
NC
Enumeration date
01/17/2012
Last updated
05/09/2013
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