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Organization

MARIA PARHAM ANESTHESIA AND PHYSIATRY CENTER INC

Active
Other names
DBA NORTHERN CAROLINA CARDIOLOGY
Organization subpart
No

Provider details

NPI number
Authorized official
JAY KENNEDY (VICE PRESIDENT OF OPERATIONS)
(252) 436-1102
Entity
Organization

Contact information

Practice address
568 RUIN CREEK RD, SUITE 102, HENDERSON, NC 27536-2880
(252) 436-1085
(252) 436-1086
Mailing address
568 RUIN CREEK RD, SUITE 102, HENDERSON, NC 27536-2880
(252) 436-1085
(252) 436-1086

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
01275
NC
207R00000X
Internal Medicine Physician
Primary
01718
NC

Other

Enumeration date
10/19/2011
Last updated
10/19/2011
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