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Organization
GENESISCARE USA OF NORTH CAROLINA, PA
Active
Organization
GENESISCARE USA OF NORTH CAROLINA, PA
Active
Other names
Genesiscare Surgical Specialists
Organization subpart
No
Provider details
NPI number
Authorized official
TIMOTHY D. SHAFMAN MD (PRESIDENT)
(401) 456-2690
Entity
Organization
Contact information
Practice address
20 MEDICAL PARK DR, ASHEVILLE, NC 28803-2493
(239) 931-7342
(239) 931-7385
Mailing address
1419 SE 8TH TER STE 200, CAPE CORAL, FL 33990-3213
(239) 931-7342
(239) 931-7385
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
—
NULL
208600000X
Surgery Physician
—
—
2086X0206X
Surgical Oncology Physician
—
NULL
2086X0206X
Surgical Oncology Physician
—
—
208C00000X
Colon & Rectal Surgery Physician
Primary
—
NULL
208C00000X
Colon & Rectal Surgery Physician
Primary
—
—
Other
Enumeration date
01/27/2021
Last updated
09/25/2023
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