Organization
DLP CENTRAL CAROLINA MEDICAL GROUP LLC
Active
Organization
DLP CENTRAL CAROLINA MEDICAL GROUP LLC
Active
Other names
Central Caroling Urology
Organization subpart
No
Provider details
NPI number
Authorized official
SARA MILLER (DIRECTOR)
(615) 920-7514
Entity
Organization
Contact information
Practice address
1139 CARTHAGE ST STE 110-B, SANFORD, NC 27330-4111
(919) 775-7232
(919) 775-1731
Mailing address
330 SEVEN SPRINGS WAY, BRENTWOOD, TN 37027-5098
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1184163883
—
NC
Enumeration date
02/15/2017
Last updated
12/26/2018
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