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Organization

CAROLINA VASCULAR WELLNESS, PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. PETER MARIO MOHR (CEO)
(919) 226-3694
Entity
Organization

Contact information

Practice address
5318 HIGHGATE DR, SUITE 135, DURHAM, NC 27713-6630
(919) 226-3694
(919) 226-3699
Mailing address
5318 HIGHGATE DR, SUITE 135, DURHAM, NC 27713-6630
(919) 226-3694
(919) 226-3699

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
163WI0500X
Infusion Therapy Registered Nurse
163WX0200X
Oncology Registered Nurse
174400000X
Specialist
Primary
2006-00963
NC
207L00000X
Anesthesiology Physician
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
207RI0200X
Infectious Disease Physician
207RR0500X
Rheumatology Physician
208000000X
Pediatrics Physician
208600000X
Surgery Physician
247100000X
Radiologic Technologist
261QI0500X
Infusion Therapy Clinic/Center
293D00000X
Physiological Laboratory
363A00000X
Physician Assistant
363L00000X
Nurse Practitioner

Other

Enumeration date
10/16/2008
Last updated
06/18/2010
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