| International Clinic Of The Carolinas Pllc | |
|
2406 Blue Ridge Rd Suite 170 Raleigh NC 27607-6678 | |
| (919) 782-4884 | |
| (919) 782-4885 |
| Full Name | International Clinic Of The Carolinas Pllc |
|---|---|
| Speciality | Internal Medicine |
| Location | 2406 Blue Ridge Rd, Raleigh, North Carolina |
| Authorized Official Name and Position | Anthony Tonos (OWNER) |
| Authorized Official Contact | 9197824884 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| International Clinic Of The Carolinas Pllc 2406 Blue Ridge Rd Suite 170 Raleigh NC 27607-6678 Ph: (919) 782-4884 | International Clinic Of The Carolinas Pllc 2406 Blue Ridge Rd Suite 170 Raleigh NC 27607-6678 Ph: (919) 782-4884 |
| NPI Number | 1912228347 |
|---|---|
| Provider Enumeration Date | 06/21/2010 |
| Last Update Date | 09/14/2010 |
| Medicare PECOS PAC ID | 2365566924 |
|---|---|
| Medicare Enrollment ID | O20100902001028 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912228347 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 200801582 (North Carolina) | Primary |
| Provider Name | Marta Llibre |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1265400758 PECOS PAC ID: 9931146149 Enrollment ID: I20081112000525 |
| Provider Name | Anthony Tonos |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1225087307 PECOS PAC ID: 7315979044 Enrollment ID: I20081201000698 |
| Provider Name | Stephanie Fakhry Tonos |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1942721865 PECOS PAC ID: 3173948254 Enrollment ID: I20231218000417 |
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