Organization
ANSON COUNTY INTERNAL MEDICINE CLINIC, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ABDOLHAKIM NIAZI-SAI MD FACP FRCP C (PRESIDENT)
(704) 694-5159
Entity
Organization
Contact information
Practice address
208 HALL STREET, WADESBORO, NC 28170
(704) 694-5159
(704) 694-2003
Mailing address
208 HALL STREET, WADESBORO, NC 28170
(704) 694-5159
(704) 694-2003
Taxonomy
Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
19810
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01043
BCBS
NC
05
—
7901043
—
NC
Enumeration date
07/26/2006
Last updated
04/29/2010
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