Organization
CENTRAL CAROLINA-IMA, LLC
Active
Organization
CENTRAL CAROLINA-IMA, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WESLEY O. JAMES (REGIONAL CFO, TENET)
(404) 265-5009
Entity
Organization
Contact information
Practice address
1139 CARTHAGE ST, STE 110, SANFORD, NC 27330-4111
(919) 774-2195
(919) 776-8131
Mailing address
PO BOX 742790, ATLANTA, GA 30374-2790
(919) 774-2195
(919) 776-8131
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
10/24/2013
Last updated
05/26/2016
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