Organization
ALAMANCE INTERNAL AND NUCLEAR MEDICINE
Active
Parent organization
ALAMANCE INTERNAL AND NUCLEAR MEDICINE
Organization subpart
Yes
Provider details
NPI number
Legal business name
ALAMANCE INTERNAL AND NUCLEAR MEDICINE
Authorized official
DR. FAYEGH JADALI M.D. (PHYSICIAN)
(336) 586-9799
Entity
Organization
Contact information
Practice address
2961 CROUSE LN, SUITE A, BURLINGTON, NC 27215-8833
(336) 586-9799
(336) 586-9760
Mailing address
2961 CROUSE LN, SUITE A, BURLINGTON, NC 27215-8833
(336) 586-9799
(336) 586-9760
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
9700604
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
891042X
—
NC
Enumeration date
03/21/2013
Last updated
03/21/2013
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