Organization
SOUTHEASTERN IMAGING CONSULTANTS OF CARY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTINE B HOLDER RT (PRESIDENT)
(336) 852-3488
Entity
Organization
Contact information
Practice address
3700 NW CARY PKWY, SUITE 120, CARY, NC 27513-8422
(919) 653-0380
(919) 653-0388
Mailing address
PO BOX 16475, CHAPEL HILL, NC 27516-6475
(919) 967-6646
(919) 967-6647
Taxonomy
Speciality
Code
Description
License number
State
2085B0100X
Body Imaging Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
017NJ
BLUE CROSS/BLUE SHIELD
NC
Enumeration date
06/11/2006
Last updated
08/22/2020
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