Organization
CAPE FEAR DIAGNOSTIC IMAGING, LLC
Active
Other names
North Carolina Diagnostic Imaging-Waterford
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DANIEL J SCHAEFER (C.O.O.)
(770) 300-0101
Entity
Organization
Contact information
Practice address
509 OLDE WATERFORD WAY, SUITE 104, LELAND, NC 28451-4125
(910) 383-6047
(910) 383-6210
Mailing address
PO BOX 933393, ATLANTA, GA 31193-0001
(336) 659-1211
(336) 774-1751
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
011VW
BCBS
NC
01
—
020XH
BCBS
NC
05
—
5950412
—
NC
Enumeration date
07/29/2008
Last updated
01/14/2009
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