SAM/Outreach Program
SAM/Outreach Program is a Specialist in Lincolnton, North Carolina. Licensed in North Carolina. Registered with an NPI since 2009.
- Licensed in
- NC
- In the registry since
- 2009
Practice location Address checks out
114 E Main St Ste BLincolnton, NC 28092-2725
Phone: (704) 740-6512
Fax: (704) 735-4995
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Specialist (primary) | Taxonomy 174400000X · Licence MHL-055-114 (NC) |
|---|
Record details
| NPI number | 1003145665 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Rosalind Bynum — Executive Director · (704) 740-6512 |
| NPI enumerated | December 10, 2009 |
| Last updated in NPPES | December 10, 2009 |
| Mailing address | Po Box 1710, Lincolnton, NC 28093-1710 |
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Dr. Edward B Miedema, MD
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David A Nachamie, MD
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Mr. Ali Saboortinat Mofrad, MD
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