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General NPI Number Information
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NPI Number | 1699870584
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Entity Type | Organization
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Legal Business Name | CAROLINA RADIOLOGY CONSULTANTS, PA
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Dates
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Enumeration Date | 09/14/2006
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Last Update Date | 08/13/2021
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Provider Practice Location Address
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Address Line | 1705 SO TARBORO ST WILSON MEDICAL CENTER
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City | WILSON
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State | NC
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Zip | 27893
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Country | US
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Telephone | 252-399-8928
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Fax | 252-399-7313
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Provider Business Mailing Address
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Address Line | PO BOX 63307
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City | CHARLOTTE
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State | NC
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Zip | 28263-3307
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Country | US
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Telephone | 866-759-4524
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Fax | 757-512-5025
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Authorized Official
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Title or Position | PRESIDENT
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Name | JEFFREY EMERSON JONES
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Credential | MD
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Telephone | 252-399-8695
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2085R0204X
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Taxonomy Name | Vascular & Interventional Radiology Physician
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License Number |
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License Number State | NC
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Taxonomy #2
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number |
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License Number State | NC
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