Organization
MID-CAROLINA NEUROLOGY, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SARISE FREIMAN (PRESIDENT)
(704) 291-2500
Entity
Organization
Contact information
Practice address
1423 E FRANKLIN ST, SUITE A, MONROE, NC 28112-5266
(704) 291-2500
(704) 291-2501
Mailing address
1423 E FRANKLIN ST, SUITE A, MONROE, NC 28112-5266
(704) 291-2500
(704) 291-2501
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
9500908
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
33910
NC BCBS
—
05
—
8933910
—
NC
Enumeration date
07/22/2008
Last updated
06/05/2009
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