Organization
CAROLINA ONCOLOGY SPECIALIST PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CYNTHIA G WALKER (OFFICE MANAGER)
(828) 324-9550
Entity
Organization
Contact information
Practice address
2406 CENTURY PL SE, HICKORY, NC 28602-4031
(828) 324-9550
(828) 324-4154
Mailing address
PO BOX 3710, HICKORY, NC 28603-3710
(828) 324-9550
(828) 324-4154
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
—
—
207RX0202X
Medical Oncology Physician
Primary
40721
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01910
BCBS GROUP NUMBER
NC
01
—
209332E
MEDICARE GROUP PTAN
—
05
—
7901910
—
NC
Enumeration date
04/13/2006
Last updated
12/03/2025
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