Organization
ADMA PRIMARY CARE PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHOBANA SENTHILNATHAN M.D. (PRESIDENT)
(919) 362-1836
Entity
Organization
Contact information
Practice address
1001 PEMBERTON HILL RD STE 102, APEX, NC 27502-4265
(919) 362-1836
Mailing address
1001 PEMBERTON HILL RD STE 102, APEX, NC 27502-4265
(919) 362-1836
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
9901025
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
891208Q
—
NC
Enumeration date
05/06/2007
Last updated
10/21/2009
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