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Organization

ORIOLE ACUTE TRAUMA LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
KATHY KONDAS (OFFICER)
(317) 614-9871
Entity
Organization

Contact information

Practice address
95 JUDGE TANNER BLVD, COVINGTON, LA 70433-7500
(973) 251-1132
Mailing address
5565 CENTERVIEW DR STE 107, RALEIGH, NC 27606-3563

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
2086S0127X
Trauma Surgery Physician

Other

Enumeration date
05/18/2014
Last updated
04/20/2021
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