Organization
CMG OF NORTH CAROLINA, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DENNIS MICHAEL RYAN (SENIOR VP/CFO)
(757) 668-8565
Entity
Organization
Contact information
Practice address
1735 CITY CENTER BLVD, ELIZABETH CITY, NC 27909-8960
(252) 338-2155
(252) 338-7704
Mailing address
601 CHILDRENS LN, NORFOLK, VA 23507-1910
(757) 668-7017
(757) 668-8929
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
Other
Enumeration date
08/08/2006
Last updated
08/14/2009
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