Organization
CAROLINA MEDICAL WAVE
Active
Organization
CAROLINA MEDICAL WAVE
Active
Parent organization
GAADRA ENTERPRISE PLLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
GAADRA ENTERPRISE PLLC
Authorized official
DR. GAMAL A ELSAIDI DO (OWNER)
(336) 749-9354
Entity
Organization
Contact information
Practice address
1310 SE MAYNARD RD # 204-B, CARY, NC 27511-3615
(336) 749-9354
Mailing address
8415 GROVE CREEK DR, LEWISVILLE, NC 27023-3004
(336) 749-9354
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
—
—
Other
Enumeration date
12/29/2021
Last updated
04/05/2022
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