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Organization

MID CAROLINA RADIOLOGY ASSOCIATES PA

Active
Other names
Mid-Carolina Radiology
Organization subpart
No

Provider details

NPI number
Authorized official
JOHN W WITTENBORN MD (PRESIDENT)
(919) 774-2055
Entity
Organization

Contact information

Practice address
1135 CARTHAGE ST, SANFORD, NC 27330-4162
(919) 777-7092
(775) 624-9774
Mailing address
PO BOX 63367, CHARLOTTE, NC 28263-3367
(844) 825-9300
(775) 624-9774

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
02165
BCBS
NC
05
7902165
NC
Enumeration date
09/07/2006
Last updated
12/06/2024
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