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Organization

CS CENTER, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MICHELLE C HUNTER (BUSINESS OFFICE MANAGER)
(704) 442-4661
Entity
Organization

Contact information

Practice address
3621 RANDOLPH RD, SUITE 200, CHARLOTTE, NC 28211-1317
(704) 442-4661
(704) 442-4667
Mailing address
3621 RANDOLPH RD, SUITE 200, CHARLOTTE, NC 28211-1317
(704) 442-4661
(704) 442-4667

Taxonomy

Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0061R
BLUE CROSS - BLUE SHIELD
NC
05
3409930
NC
01
PIN7591105
AETNA PPO (RANDOLPH)
NC
01
PVN3002479
AETNA HMO (RANDOLPH)
NC
Enumeration date
09/01/2006
Last updated
08/22/2020
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