Organization
CAROLINA COLORECTAL SURGERY, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SANKAR NAIDU ADUSUMILLI MD (CHAIRMAN)
(919) 235-0216
Entity
Organization
Contact information
Practice address
2501 ATRIUM DR, SUITE 305, RALEIGH, NC 27607-6452
(919) 235-0216
(919) 235-0217
Mailing address
2501 ATRIUM DR, SUITE 305, RALEIGH, NC 27607-6452
(919) 235-0216
(919) 235-0217
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
200701309
NC
208C00000X
Colon & Rectal Surgery Physician
200701309
NC
Other
Enumeration date
02/06/2008
Last updated
05/09/2008
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