# CAROLINA CARE - URGENT CARE AND SPORTS MEDICINE

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1205262995
- **Authorized official:** MARISA TESTANI (ADMINISTRATOR)
- **Authorized official phone:** (919) 698-8010

## Contact information

- **Practice address:** 6832 MARKET ST, SUITE A, WILMINGTON, NC 28405-9723
- **Practice address phone:** (910) 859-2273
- **Mailing address:** PO BOX 572, WRIGHTSVILLE BEACH, NC 28480-0572

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |
| 261QM1300X | Multi-Specialty Clinic/Center | — | NULL | — |
| 261QU0200X | Urgent Care Clinic/Center | — | NULL | — |

## Other

- **Enumeration date:** 09/25/2013
- **Last updated:** 10/29/2021