Organization
NORTH STATE MEDICAL GROUP, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GERALD AHIGIAN M.D. (PHYSICIAN/OWNER)
(704) 483-2200
Entity
Organization
Contact information
Practice address
2266 N HIGHWAY 16, DENVER, NC 28037-8254
(704) 483-2200
(704) 483-2214
Mailing address
9816 SAM FURR RD, SUITE 101, HUNTERSVILLE, NC 28078-4930
(704) 483-2200
(704) 483-2214
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
890131U
—
NC
Enumeration date
05/26/2006
Last updated
11/21/2013
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