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Organization

CAROLINA WEIGHT LOSS SURGERY

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. ROC WINSTON BAUMAN M. D. (PRESIDENT)
(704) 786-5700
Entity
Organization

Contact information

Practice address
1090 VINEHAVEN DR, CONCORD, NC 28025-2438
(704) 786-5700
(704) 786-5703
Mailing address
1090 VINEHAVEN DR, CONCORD, NC 28025-2438
(704) 786-5700
(704) 786-5703

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
9300027
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
13904
BCBS
NC
Enumeration date
04/25/2006
Last updated
08/22/2020
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