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Organization
MDFAMILY MEDICAL GROUP
Active
Organization
MDFAMILY MEDICAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AUDREY SANDERS (CHIEF OPERATIONS OFFICER)
(919) 676-4714
Entity
Organization
Contact information
Practice address
305 TECHNICAL COURT, GARNER, NC 27529-0000
(919) 773-0089
Mailing address
4530 PARK RD STE 200, CHARLOTTE, NC 28209-3790
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
208000000X
Pediatrics Physician
—
NULL
208000000X
Pediatrics Physician
—
—
Other
Enumeration date
05/16/2008
Last updated
05/16/2008
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