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Organization

TMS OF THE CAROLINAS

Active
Other names
TMS of the Carolinas
Organization subpart
No

Provider details

NPI number
Authorized official
TERRY MICHAEL WISE (MEMBER)
(704) 706-5526
Entity
Organization

Contact information

Practice address
245 LE PHILLIP CT NE, CONCORD, NC 28025-2900
(704) 706-5526
(704) 973-9187
Mailing address
245 LE PHILLIP CT NE, CONCORD, NC 28025-2900
(704) 706-5526
(704) 973-9187

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
207Q00000X
Family Medicine Physician
2084P0800X
Psychiatry Physician
Primary

Other

Enumeration date
10/06/2020
Last updated
10/06/2020
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