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Organization

CARDIOVASCULAR CARE OF NORTHERN CAROLINA PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
LOUIS ALLEN KINDMAN MD (PRESIDENT)
(336) 599-1077
Entity
Organization

Contact information

Practice address
515 RIDGE RD, ROXBORO, NC 27573-4627
(336) 599-1077
Mailing address
PO BOX 61050, DURHAM, NC 27715-1050
(919) 544-6318
(919) 544-6336

Taxonomy

Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
005865930
VA
05
890141W
NC
01
CJ4919
MEDICARE RAILROAD
NC
Enumeration date
04/07/2006
Last updated
11/03/2010
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