First Foundation Clinic of the Carolinas, Inc.

NPI #1912968934 in Dallas, North Carolina

Provider Information

NPI Number: 1912968934
Entity Type: Organization
Organization Name: First Foundation Clinic of the Carolinas, Inc.
Primary Specialty: Internal Medicine
Enumeration Date: Mar 29, 2006
Last Updated: Aug 22, 2008

Practice Location

Address: 107 N SUMMEY ST
City: Dallas
State: North Carolina
ZIP Code: 28034-1824
Phone: (704) 923-0446

Authorized Official

Name: MS. THIRRFERN JAMERSON
Title: OFFICE MANAGER
Phone: (704) 923-0446

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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