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CAROLINA PARK MEDICAL CENTER PLLC NPI 1154740561


NPI Information

NPI: 1154740561
Provider Name: CAROLINA PARK MEDICAL CENTER PLLC

Former Legal Business Name: ARIA HEALTHCARE AND MEDISPA PLLC

Classification: General Practice - 208D00000X
Entity Type: Organization

CLIA Number: 34D2078058

Address:
984 THOMPSON ST
SUITE E2
PITTSBORO, NC
ZIP 27312
Phone: (919) 533-4804
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CAROLINA PARK MEDICAL CENTER PLLC is a general practice in Pittsboro, NC. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee CAROLINA PARK MEDICAL CENTER PLLC NPI is 1154740561. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Former Legal Business Name Is Aria Healthcare And Medispa Pllc.

The provider's business location address is:

984 THOMPSON ST
SUITE E2
PITTSBORO, NC
ZIP 27312
Phone: (919) 533-4804
Fax: (919) 704-8552

The provider's authorized official is Ajay K Ajmani .
The authorized official title is President and has the following contact phone number (919) 774-5911.

The CLIA number assigned to this NPI record is 34D2078058 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 4/14/2014 and was last updated on 12/14/2015.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207R00000XInternal Medicine199625NORTH CAROLINANo
2207N00000XDermatology199625NORTH CAROLINANo
3207Q00000XFamily Medicine199625NORTH CAROLINANo
4207RA0201XInternal MedicineAllergy & Immunology199625NORTH CAROLINANo
5207RR0500XInternal MedicineRheumatology199625NORTH CAROLINANo
6208000000XPediatrics199625NORTH CAROLINANo
7208D00000XGeneral Practice199625NORTH CAROLINAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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