Organization
CARDINAL CLINIC, L.L.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARY BRITT (OFFICE MANAGER FOR SOUTHERN PINES)
18884831238
Entity
Organization
Contact information
Practice address
1207 S COX ST STE C, ASHEBORO, NC 27203-6961
(336) 318-2757
Mailing address
1207 S COX ST STE C, ASHEBORO, NC 27203-6961
(336) 318-2757
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
C004803
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
141E2
BCBS
NC
01
—
185337
MEDCOST
NC
05
—
6002931
—
NC
Enumeration date
02/14/2008
Last updated
02/14/2008
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