Organization
CORE I MED LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. FARSHAD HOSSEINI (MANAGING MEMBER)
(980) 229-1449
Entity
Organization
Contact information
Practice address
105 STONE VILLAGE DR, FORT MILL, SC 29708-6489
(803) 548-2610
Mailing address
2764 PLEASANT RD # 11605, FORT MILL, SC 29708-7213
Taxonomy
Speciality
Code
Description
License number
State
204R00000X
Electrodiagnostic Medicine Physician
Primary
—
—
Other
Enumeration date
09/06/2019
Last updated
09/06/2019
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