Organization
CAROLINAS CANCER CARE PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THOMAS WRAY HAUCH MD (PRESIDENT/OWNER)
(704) 344-1995
Entity
Organization
Contact information
Practice address
411 BILLINGSLEY RD, SUITE 103, CHARLOTTE, NC 28211-1066
(704) 344-1995
(704) 344-9125
Mailing address
411 BILLINGSLEY RD, SUITE 103, CHARLOTTE, NC 28211-1066
(704) 344-1995
(704) 344-9125
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
21568
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
89011V4
—
NC
Enumeration date
10/03/2005
Last updated
08/22/2020
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