North State Medical Group, P.a.

NPI #1629024138 in Denver, North Carolina

Provider Information

NPI Number
1629024138
Entity Type
Organization
Organization Name
North State Medical Group, P.a.
Primary Specialty
Family Medicine
Enumeration Date
May 26, 2006
Last Updated
Nov 21, 2013

Practice Location

Address
2266 N HIGHWAY 16
City
Denver
ZIP Code
28037-8254
Phone
(704) 483-2200

Authorized Official

Name
GERALD AHIGIAN, M.D.
Title
PHYSICIAN/OWNER
Phone
(704) 483-2200

Specialties & Taxonomy Codes

Specialty
Family Medicine

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