Organization
CAROLINA SURGICAL CARE ASSOCIATES, P. A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANTONIO JOSE RUIZ MD (PRESIDENT)
(252) 335-4890
Entity
Organization
Contact information
Practice address
105 MEDICAL DR, ELIZABETH CITY, NC 27909-3361
(252) 335-4890
(252) 335-7836
Mailing address
105 MEDICAL DR, ELIZABETH CITY, NC 27909-3361
(252) 335-4890
(252) 335-7836
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
38982
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8901911
—
NC
Enumeration date
07/18/2005
Last updated
06/23/2010
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