# CAROLINA INTERNAL MEDICINE OF ASHEBORO

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1366429938
- **Authorized official:** IMRAN PASHA HAQUE M.D. (PRESIDENT/OWNER)
- **Authorized official phone:** (336) 672-6000

## Contact information

- **Practice address:** 610 N FAYETTEVILLE ST, SUITE 200, ASHEBORO, NC 27203-4670
- **Practice address phone:** (336) 672-6000
- **Practice address fax:** (336) 672-6001
- **Mailing address:** 610 N FAYETTEVILLE ST, SUITE 200, ASHEBORO, NC 27203-4670
- **Mailing address phone:** (336) 672-6000
- **Mailing address fax:** (336) 672-6001

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QP2300X | Primary Care Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 12/27/2005
- **Last updated:** 09/19/2007