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
MR. DANIEL WIENS (SENIOR VICE PRESIDENT)
(704) 355-0648
Entity
Organization
Contact information
Practice address
14057 HWY 17 N, SUITE 130B, HAMPSTEAD, NC 28443-3791
(910) 362-8765
(910) 362-9123
Mailing address
PO BOX 602297, CHARLOTTE, NC 28260-2297
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5913025
—
NC
Enumeration date
09/08/2009
Last updated
02/11/2010
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