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1629051115
JIM SISTASIS
ASHEBORO, NC
NPI
1629051115
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: NC 9901476)
Enumeration Date
2005-11-29
Last Update Date
2011-10-07
Business Address
JIM SISTASIS M.D.
147 E ACADEMY ST
ASHEBORO, NC 27203-5706
Phone number: 336-633-1212
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Mailing Address
JIM SISTASIS M.D.
PO BOX 4247
ASHEBORO, NC 27204-4247
Phone number: 336-633-1212
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