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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