Organization
CAROLINAS MEDICAL CENTER
Active
Other names
Carolinas Medical Center Pro fees, Atrium Health Mercy, a facility of Carolinas Medical Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ANTHONY DEFURIO (EVP AND CHIEF FINANCIAL OFFICER)
(704) 355-3304
Entity
Organization
Contact information
Practice address
2001 VAIL AVE, CHARLOTTE, NC 28207-1248
(704) 355-2000
Mailing address
PO BOX 32861, CHARLOTTE, NC 28232-2861
(704) 512-6438
(704) 512-6485
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
890161H
—
NC
Enumeration date
11/15/2006
Last updated
08/21/2019
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