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Organization

CAROLINA HEALTHCARE ASSOCIATES INC

Active
Parent organization
CAROLINA HEALTHCARE ASSOCIATES INC
Other names
Atlantic Urology
Organization subpart
Yes

Provider details

NPI number
Legal business name
CAROLINA HEALTHCARE ASSOCIATES INC
Authorized official
DANIEL GOODWIN (VICE-PRESIDENT)
(910) 667-7597
Entity
Organization

Contact information

Practice address
3009 MEDICAL PLAZA LN, SOUTHPORT, NC 28461-5194
(910) 362-8765
Mailing address
PO BOX 19305, CHARLOTTE, NC 28219-9305
(704) 631-0002

Taxonomy

Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary

Other

Enumeration date
09/08/2009
Last updated
05/06/2021
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