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Organization

SIM USA, INCORPORATED

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. HAROLD PAGAN HOPE JR. MD (MEDICAL DIRECTOR)
(704) 587-1415
Entity
Organization

Contact information

Practice address
14830 CHOATE CIRCLE, CHARLOTTE, NC 28273
(704) 587-1415
(704) 587-1554
Mailing address
PO BOX 7900, CHARLOTTE, NC 28241-7900
(704) 587-1415
(704) 587-1554

Taxonomy

Speciality
Code
Description
License number
State
251V00000X
Voluntary or Charitable Agency
Primary
NC19168
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
31411
NC # FRANK YOUNG
NC
01
3401036727
CLIA # SIM
01
4074608
AETNA HAROLD HOPE MD
01
7863826
AETNA FRANK A YOUNG
Enumeration date
08/15/2006
Last updated
03/07/2023
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