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Organization

CAROLINA IMAGING LLC OF FAYETTEVILLE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. DANIEL J SCHAEFER (C.O.O.)
(770) 300-0101
Entity
Organization

Contact information

Practice address
3628 CAPE CENTER DR, FAYETTEVILLE, NC 28304-4406
(910) 483-1321
(910) 323-3521
Mailing address
P.O. BOX 933393, ATLANTA, GA 31193-3393
(336) 659-1211
(336) 774-1751

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
CA8698
RR MEDICARE PIN
Enumeration date
04/15/2008
Last updated
08/23/2012
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