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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