Organization
NORTH CAROLINA GROUP SERVICES, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIM H LARSEN (DIRECTOR OF CREDENTIALING)
(770) 874-5400
Entity
Organization
Contact information
Practice address
2702 FARRELL RD, SANFORD, NC 27330-6505
(919) 776-9602
Mailing address
PO BOX 21328, BELFAST, ME 04915-4110
(770) 874-5400
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
—
Other
Enumeration date
08/30/2016
Last updated
02/05/2020
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