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Organization

CAROLINAS FERTILITY INSTITUTE, P.A.

Active
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Organization

CAROLINAS FERTILITY INSTITUTE, P.A.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
PENNY RODRIGUEZ (AR & CREDENTIALING MANAGER)
(336) 448-9100
Entity
Organization

Contact information

Practice address
128 MEDICAL PARK RD STE 103, MOORESVILLE, NC 28117-8579
(336) 448-9100
Mailing address
PO BOX 25804, WINSTON SALEM, NC 27114-5804
(336) 448-9100
(336) 448-5282

Taxonomy

Speciality
Code
Description
License number
State
207VE0102X
Reproductive Endocrinology Physician
Primary

Other

Enumeration date
05/24/2023
Last updated
05/24/2023
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