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Organization

CAROLINA IMMEDIATE CARE , P.A.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. ESPERANZA M ORDONEZ MD (PRESIDENT)
(919) 782-0430
Entity
Organization

Contact information

Practice address
5720 CREEDMOOR RD, SUITE 100, RALEIGH, NC 27612-2256
(919) 782-0430
(919) 782-0433
Mailing address
5720 CREEDMOOR RD, SUITE 100, RALEIGH, NC 27612-2256
(919) 782-0430
(919) 782-0433

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
24192
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
013WE
BCBS GROUP NUMBER
NC
05
8964157
NC
Enumeration date
04/25/2006
Last updated
12/02/2010
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