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Organization

CAROLINA INTERNAL MEDICINE CENTER PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. FARHAD MICHAEL NASSERI (SECRETARY)
(919) 776-4040
Entity
Organization

Contact information

Practice address
109 S VANCE ST, SANFORD, NC 27330-4372
(919) 776-4040
(919) 776-4043
Mailing address
PO BOX 1025, SANFORD, NC 27331-1025
(919) 776-4040
(919) 776-4043

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
200401422
NC

Other

Enumeration date
09/02/2009
Last updated
09/10/2009
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