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1306080510
WASEEM GHANNAM
WHITEVILLE, NC
NPI
1306080510
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: NC 2012-00517)
Enumeration Date
2009-05-01
Last Update Date
2018-11-08
Business Address
WASEEM GHANNAM
500 JEFFERSON ST
WHITEVILLE, NC 28472-3634
Phone number: 910-642-1776
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Mailing Address
WASEEM GHANNAM
500 JEFFERSON ST
WHITEVILLE, NC 28472-3634
Phone number:
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