# CAROLINA HEALTHCARE ASSOCIATES INC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Parent organization:** CAROLINA HEALTHCARE ASSOCIATES INC
- **Other names:** Wrightsville Beach Family Medicine
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1568697175
- **Legal business name:** CAROLINA HEALTHCARE ASSOCIATES INC
- **Authorized official:** DANIEL GOODWIN (VICE-PRESIDENT)
- **Authorized official phone:** (910) 667-7597

## Contact information

- **Practice address:** 1721 ALLENS LN, STE 100, WILMINGTON, NC 28403-3661
- **Practice address phone:** (910) 344-8900
- **Mailing address:** PO BOX 19305, CHARLOTTE, NC 28219-9305
- **Mailing address phone:** (704) 631-0002

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |
| 207QS0010X | Sports Medicine (Family Medicine) Physician | — | NULL | — |
| 207QS0010X | Sports Medicine (Family Medicine) Physician | — | — | — |

## Other

- **Enumeration date:** 05/27/2009
- **Last updated:** 05/06/2021