Organization
CAROLINA FAMILY CARE, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DEEPAK RAMCHANDRA GELOT M.D. (PRESIDENT)
(704) 734-0001
Entity
Organization
Contact information
Practice address
707 W KING ST, KINGS MOUNTAIN, NC 28086-2707
(704) 734-0001
Mailing address
707 W KING ST, KINGS MOUNTAIN, NC 28086-2707
(704) 734-0001
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0218M
BCBS
NC
05
—
890218M
—
NC
Enumeration date
11/11/2006
Last updated
11/20/2007
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