Organization
CAROLINA HEALTHCARE ASSOCIATES, INC.
Active
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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