# CAROLINA COMPREHENSIVE HEALTH NETWORK, PA

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

## Provider details

- **NPI number:** 1245578350
- **Authorized official:** CODEY BROWN (COO)
- **Authorized official phone:** (704) 577-6986

## Contact information

- **Practice address:** 1503 E BROAD ST, STATESVILLE, NC 28625-4301
- **Practice address phone:** (704) 209-7493
- **Mailing address:** 17505 W CATAWBA AVE, CORNELIUS, NC 28031-8057
- **Mailing address phone:** (704) 903-6047

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 01/24/2013
- **Last updated:** 01/24/2013