# ALLEGHANY FAMILY PRACTICE, PA

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

## Provider details

- **NPI number:** 1891768958
- **Authorized official:** MR. JACK RICHARD CAHN MD (MD AND PRESIDENT)
- **Authorized official phone:** (336) 372-5606

## Contact information

- **Practice address:** 214 DOCTORS ST, SPARTA, NC 28675
- **Practice address phone:** (336) 372-5606
- **Practice address fax:** (336) 372-6211
- **Mailing address:** 214 DOCTORS ST, SPARTA, NC 28675
- **Mailing address phone:** (336) 372-5606
- **Mailing address fax:** (336) 372-6211

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 40433 | NC | Yes |

## Other

- **Enumeration date:** 02/09/2006
- **Last updated:** 07/13/2010

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 01014 | BCBS | NC |
| 05 | — | 8901014 | — | NC |
| 01 | — | C13685 | RAILROAD MEDICARE | NC |