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Organization
CAROLINA HEALTHCARE ASSOCIATES INC
Active
Organization
CAROLINA HEALTHCARE ASSOCIATES INC
Active
Parent organization
CAROLINA HEALTHCARE ASSOCIATES INC
Other names
Wallace Urgent Care
Organization subpart
Yes
Provider details
NPI number
Legal business name
CAROLINA HEALTHCARE ASSOCIATES INC
Authorized official
DANIEL GOODWIN (VICE-PRESIDENT)
(910) 667-7597
Entity
Organization
Contact information
Practice address
112 MEDICAL VILLAGE DR, STE G, WALLACE, NC 28466-1668
(910) 285-0333
Mailing address
PO BOX 19305, CHARLOTTE, NC 28219-9305
(704) 631-0002
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
207R00000X
Internal Medicine Physician
—
NULL
207R00000X
Internal Medicine Physician
—
—
Other
Enumeration date
11/08/2010
Last updated
06/12/2020
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