Organization
FIRST FOUNDATION CLINIC OF THE CAROLINAS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THIRRFERN H. JAMERSON (OFFICE MANAGER)
(704) 923-0446
Entity
Organization
Contact information
Practice address
206 GAMBLE DR, SUITE B, LINCOLNTON, NC 28092-4439
(704) 748-6900
(704) 748-9788
Mailing address
PO BOX 578, DALLAS, NC 28034-0578
(704) 923-0446
(704) 923-8319
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0233U
BCBS OF NORTH CAROLINA
NC
05
—
89016MC
—
NC
Enumeration date
04/25/2008
Last updated
04/25/2008
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