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Organization

CAROLINA HEALTHCARE ASSOCIATES, INC.

Active
Parent organization
CAROLINA HEALTHCARE ASSOCIATES INC
Other names
Pender Primary Care - Burgaw
Organization subpart
Yes

Provider details

NPI number
Legal business name
CAROLINA HEALTHCARE ASSOCIATES INC
Authorized official
MR. DAN E GOODWIN (VP)
(910) 667-7597
Entity
Organization

Contact information

Practice address
209B US HIGHWAY 117 N, BURGAW, NC 28425-5101
(910) 259-0600
(910) 259-3444
Mailing address
PO BOX 602484, CHARLOTTE, NC 28260-2484
(910) 259-0600
(910) 259-3444

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1265733406
NC
05
5917056
NC
05
QPB708
SC
Enumeration date
11/04/2010
Last updated
01/10/2017
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