Organization
SURGICAL SPECIALISTS OF CHARLOTTE, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LESLIE T. WEBSTER III M.D. (PRESIDENT)
(704) 364-8100
Entity
Organization
Contact information
Practice address
7300 CARMEL EXECUTIVE PARK DR STE 200, CHARLOTTE, NC 28226-1336
(704) 916-2108
(704) 365-2073
Mailing address
PO BOX 33369, CHARLOTTE, NC 28233-3369
(704) 333-0741
(704) 365-2073
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
38870
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8901293
—
NC
Enumeration date
12/15/2005
Last updated
02/08/2022
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