# NORTH CAROLINA COMMUNITY FAMILY MEDICINE, LLC

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

## Provider details

- **NPI number:** 1740530112
- **Authorized official:** MR. WESLEY O. JAMES (REGIONAL CFO, TENET)
- **Authorized official phone:** (404) 265-5009

## Contact information

- **Practice address:** 2412 WILKINS DR, SANFORD, NC 27330-7268
- **Practice address phone:** (919) 776-6000
- **Practice address fax:** (919) 776-0130
- **Mailing address:** PO BOX 742272, ATLANTA, GA 30374-2272
- **Mailing address phone:** (919) 776-6000
- **Mailing address fax:** (919) 776-0130

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 09/13/2012
- **Last updated:** 06/16/2016