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1144658311
CENTRAL CAROLINA-IMA, LLC
SANFORD, NC
NPI
1144658311
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Entity Type
Organization
Authorized Contact
WESLEY O. JAMES
Regional CFO, Tenet
404-265-5009
Organization Subpart ?
No
Primary Taxonomy
207R00000X Internal Medicine
Enumeration Date
2013-10-24
Last Update Date
2016-05-26
Business Address
CENTRAL CAROLINA-IMA, LLC
1139 CARTHAGE ST STE 110
SANFORD, NC 27330-4111
Phone number: 919-774-2195
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Mailing Address
CENTRAL CAROLINA-IMA, LLC
PO BOX 742790
ATLANTA, GA 30374-2790
Phone number: 919-774-2195
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