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Organization

INDEPENDENT BILLING SERVICE LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
KEYMIAN LEVANTE CRISP (OWNER)
(336) 933-1204
Entity
Organization

Contact information

Practice address
401 MAPLE AVE, # 401, BURLINGTON, NC 27215-5139
(336) 539-3796
Mailing address
405 MAPLE AVE, 401, BURLINGTON, NC 27215-5139
(133) 653-9379

Taxonomy

Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary

Other

Enumeration date
12/11/2023
Last updated
05/21/2024
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