Organization
LINCOLN INTERNAL MEDICINE, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TOMA RADUT (PRESIDENT)
(704) 736-9188
Entity
Organization
Contact information
Practice address
607 S. GENERALS BLVD., LINCOLNTON, NC 28092
(704) 736-9188
(704) 736-9667
Mailing address
P.O. BOX 70, LINCOLNTON, NC 28093
(704) 736-9188
(704) 736-9667
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
114730
NC
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
114730
NC
363LF0000X
Family Nurse Practitioner
114730
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
017NT
BCBS NC
NC
01
—
2103097
MAMSI/ALLIANCE
—
05
—
5902610
—
NC
01
—
612434200
BLACK LUNG PROGRAM
—
01
—
7479411
AETNA
—
01
—
CK8825
RAILROAD MEDICARE
—
Enumeration date
06/24/2006
Last updated
12/29/2017
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