Organization
DLP CENTRAL CAROLINA MEDICAL GROUP LLC
Active
Other names
Central Carolina Community Family Care
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLOTTE LAWRENCE (SECRETARY)
(615) 920-7000
Entity
Organization
Contact information
Practice address
2412 WILKINS DR, SANFORD, NC 27330-7268
(919) 776-6000
(919) 776-0130
Mailing address
330 SEVEN SPRINGS WAY, BRENTWOOD, TN 37027-5098
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
207R00000X
Internal Medicine Physician
—
—
363A00000X
Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
—
Other
Enumeration date
02/08/2017
Last updated
09/27/2024
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