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Organization

ALLEGHANY FAMILY PRACTICE, PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. JACK RICHARD CAHN MD (MD AND PRESIDENT)
(336) 372-5606
Entity
Organization

Contact information

Practice address
214 DOCTORS ST, SPARTA, NC 28675
(336) 372-5606
(336) 372-6211
Mailing address
214 DOCTORS ST, SPARTA, NC 28675
(336) 372-5606
(336) 372-6211

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
40433
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
01014
BCBS
NC
05
8901014
NC
01
C13685
RAILROAD MEDICARE
NC
Enumeration date
02/09/2006
Last updated
07/13/2010
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