Organization
CAROLINA SURGICAL CLINIC OF CHARLOTTE, PA
Active
Organization
CAROLINA SURGICAL CLINIC OF CHARLOTTE, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JACQUE HOVIS GREENWAY (CLINIC MANAGER)
(704) 377-3900
Entity
Organization
Contact information
Practice address
2104 RANDOLPH RD, CHARLOTTE, NC 28207-1522
(704) 377-3900
(704) 377-1244
Mailing address
2104 RANDOLPH RD, CHARLOTTE, NC 28207-1522
(704) 377-3900
(704) 377-1244
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
—
—
2086X0206X
Surgical Oncology Physician
Primary
—
—
Other
Enumeration date
09/20/2006
Last updated
09/11/2025
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