# NORTH CAROLINA GROUP SERVICES, PLLC

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

## Provider details

- **NPI number:** 1992251961
- **Authorized official:** KIM H LARSEN (DIRECTOR OF CREDENTIALING)
- **Authorized official phone:** (770) 874-5400

## Contact information

- **Practice address:** 2702 FARRELL RD, SANFORD, NC 27330-6505
- **Practice address phone:** (919) 776-9602
- **Mailing address:** PO BOX 21328, BELFAST, ME 04915-4110
- **Mailing address phone:** (770) 874-5400

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | NULL | Yes |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | — | Yes |

## Other

- **Enumeration date:** 08/30/2016
- **Last updated:** 02/05/2020