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Organization
ALLEGHANY FAMILY PRACTICE, PA
Active
Organization
ALLEGHANY FAMILY PRACTICE, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JACK RICHARD CAHN MD (MD AND PRESIDENT)
(336) 372-5606
Entity
Organization
Contact information
Practice address
214 DOCTORS ST, SPARTA, NC 28675
(336) 372-5606
(336) 372-6211
Mailing address
214 DOCTORS ST, SPARTA, NC 28675
(336) 372-5606
(336) 372-6211
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
40433
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01014
BCBS
NC
05
—
8901014
—
NC
01
—
C13685
RAILROAD MEDICARE
NC
Enumeration date
02/09/2006
Last updated
07/13/2010
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