Dlp Central Carolina Medical Group LLC
Clinic/Center, Rural Health in Sanford, NC. Organization (NPI-2).
NPI number1003508367
StatusActive
Last updated in NPPESSep 27, 2024
Details
- NPI
- 1003508367
- Entity type
- Organization (NPI-2)
- Legal business name
- Dlp Central Carolina Medical Group LLC
- Organization subpart
- No
- Enumeration date
- May 24, 2023
- Certification date
- Sep 27, 2024
- Last updated
- Sep 27, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QR1300X | Clinic/Center, Rural Health | – | – | Yes |
Other names
- Central Carolina Family Care South (Doing Business As)
Practice location
1140 Carthage St Ste BSanford, NC 27330-4161
Phone 919-775-2304 · Fax 919-775-4050
Mailing address
330 Seven Springs WayBrentwood, TN 37027-5098
Phone 615-920-7000 · Fax 615-920-8775
Authorized official
Charlotte Lawrence
Secretary
6159207000
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