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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