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Individual

DR. RITA QUIAMBAO CARLOS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
628 GREEN VALLEY RD, SUITE 210, GREENSBORO, NC 27408-7730
(336) 478-1016
(336) 851-1737
Mailing address
628 GREEN VALLEY RAOD, SUITE 210, GREENSBORO, NC 27408-7789
(336) 478-1016
(336) 851-1737

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
37805
NC
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
37805
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
21117
BCBS NC
NC
01
40630
MEDCOST
NC
01
4296494
AETNA
NC
05
7921117
NC
Enumeration date
05/04/2006
Last updated
12/14/2011
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