Organization
DLP CENTRAL CAROLINA MEDICAL GROUP LLC
Active
Other names
Central Carolina WellCare
Organization subpart
No
Provider details
NPI number
Authorized official
SARA MILLER (DIRECTOR)
(615) 920-7514
Entity
Organization
Contact information
Practice address
112 HILLCREST DR, SANFORD, NC 27330-4021
(919) 718-4621
Mailing address
330 SEVEN SPRINGS WAY, BRENTWOOD, TN 37027-5098
(615) 920-7000
(615) 920-8775
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
207R00000X
Internal Medicine Physician
—
—
Other
Enumeration date
12/01/2017
Last updated
12/01/2017
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