Individual
ABUL F IMAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
207 OLD LEXINGTON RD, THOMASVILLE, NC 27360-3428
(336) 474-3444
(336) 277-9183
Mailing address
PO BOX 60447, CHARLOTTE, NC 28260-0447
(336) 474-3444
(336) 277-9183
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
9500953
NC
207R00000X
Internal Medicine Physician
9500953
NC
208M00000X
Hospitalist Physician
Primary
9500953
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8945239
—
NC
Enumeration date
02/03/2006
Last updated
08/17/2021
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