Organization
CAROLINA HEALTHCARE ASSOCIATES INC
Active
Organization
CAROLINA HEALTHCARE ASSOCIATES INC
Active
Parent organization
CAROLINA HEALTHCARE ASSOCIATES INC
Other names
Urology Comprehensive Services
Organization subpart
Yes
Provider details
NPI number
Legal business name
CAROLINA HEALTHCARE ASSOCIATES INC
Authorized official
MR. DAN E GOODWIN (VP)
(910) 667-7597
Entity
Organization
Contact information
Practice address
209B US HIGHWAY 117 N, BURGAW, NC 28425-5101
(910) 254-1033
(910) 343-0171
Mailing address
PO BOX 602484, CHARLOTTE, NC 28260-2484
(910) 254-1033
(910) 343-0171
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1073821781
—
NC
05
—
5916788
—
NC
Enumeration date
09/15/2010
Last updated
01/10/2017
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