Organization
TENET CENTRAL CAROLINA PHYSICIANS INC
Active
Other names
Mid Carolina Crossroads Surgical Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL KYLE BURTNETT (SVP OF OUTPATIENT SERVICES, TENET)
(469) 893-2153
Entity
Organization
Contact information
Practice address
709 WICKER ST, STE B, SANFORD, NC 27330-4142
(919) 774-1277
(919) 774-1101
Mailing address
PO BOX 741608, ATLANTA, GA 30384-1608
(919) 774-1277
(919) 774-1101
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
—
208800000X
Urology Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
017MY
BCBS
NC
05
—
5903334
—
NC
01
—
DF0988
RAILROAD MEDICARE
—
Enumeration date
11/16/2005
Last updated
05/26/2016
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us