Organization
CAROLINA COMPREHENSIVE HEALTH NETWORK, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CODEY BROWN (COO)
(704) 577-6986
Entity
Organization
Contact information
Practice address
1503 E BROAD ST, STATESVILLE, NC 28625-4301
(704) 209-7493
Mailing address
17505 W CATAWBA AVE, CORNELIUS, NC 28031-8057
(704) 903-6047
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
01/24/2013
Last updated
01/24/2013
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