Provider Demographics
NPI:1194080630
Name:KARAM MEDICAL CENTER
Entity type:Organization
Organization Name:KARAM MEDICAL CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/FNP
Authorized Official - Prefix:
Authorized Official - First Name:CHERYL
Authorized Official - Middle Name:J
Authorized Official - Last Name:WELLS
Authorized Official - Suffix:
Authorized Official - Credentials:FNP
Authorized Official - Phone:336-622-3000
Mailing Address - Street 1:10046 OLD LIBERTY RD
Mailing Address - Street 2:
Mailing Address - City:LIBERTY
Mailing Address - State:NC
Mailing Address - Zip Code:27298-8071
Mailing Address - Country:US
Mailing Address - Phone:336-622-3000
Mailing Address - Fax:336-622-3010
Practice Address - Street 1:10046 OLD LIBERTY ROAD
Practice Address - Street 2:
Practice Address - City:LIBERTY
Practice Address - State:NC
Practice Address - Zip Code:27298-8071
Practice Address - Country:US
Practice Address - Phone:336-622-3000
Practice Address - Fax:336-622-3010
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-07-11
Last Update Date:2012-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC5004191261Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC1770721003OtherINDIVIDUAL NPI