Organization
CAROLINA BREAST & ONCOLOGIC SURGERY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NIZAR HABAL MD, FACS (MEDICAL DIRECTOR)
(252) 413-0036
Entity
Organization
Contact information
Practice address
2223 HEMBY LANE, GREENVILLE, NC 27834
(252) 413-0036
(252) 413-0038
Mailing address
2223 HEMBY LANE, GREENVILLE, NC 27834
(252) 413-0036
(252) 413-0038
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
200000442
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5901487
—
NC
Enumeration date
02/01/2006
Last updated
08/07/2018
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