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Organization
CAROLINAS MEDICAL CENTER
Active
Organization
CAROLINAS MEDICAL CENTER
Active
Parent organization
CAROLINAS MEDICAL CENTER
Other names
Carolinas Back and Sports Specialists
Organization subpart
Yes
Provider details
NPI number
Legal business name
CAROLINAS MEDICAL CENTER
Authorized official
DENNIE UNDERWOOD (VICE PRESIDENT)
(704) 355-3147
Entity
Organization
Contact information
Practice address
1106 REYNOLDS ST, SUITE 200, MONROE, NC 28112-4375
(704) 512-4400
(704) 512-4401
Mailing address
PO BOX 601372, CHARLOTTE, NC 28260-1372
(704) 512-4400
(704) 512-4401
Taxonomy
Speciality
Code
Description
License number
State
2081P0004X
Spinal Cord Injury Medicine Physician
—
—
2081S0010X
Sports Medicine (Physical Medicine & Rehabilitation) Physician
Primary
—
—
Other
Enumeration date
03/02/2011
Last updated
03/02/2011
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