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Individual

NICHOLAS FARINA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
137 MEDICAL LANE, POLLOCKSVILLE, NC 28573
(252) 633-1010
(252) 224-3071
Mailing address
PO BOX 896206, CHARLOTTE, NC 28289-6206
(252) 633-1010
(252) 224-3071

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
9801252
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1174P
BLUE CROSS
NC
01
2261500B
MEDICARE PTAN
NC
05
891174P
NC
Enumeration date
09/06/2005
Last updated
03/17/2017
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