Organization
CAROLINAS HEALTHCARE ASSOCIATES, INC.
Active
Other names
Onslow Urology Clinc
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAN E GOODWIN (VP)
(910) 667-7597
Entity
Organization
Contact information
Practice address
221 MEMORIAL DR, JACKSONVILLE, NC 28546-6333
(910) 353-9994
(910) 353-5784
Mailing address
PO BOX 602484, CHARLOTTE, NC 28260-2484
(910) 353-9994
(910) 353-5784
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
—
—
2088F0040X
Urogynecology and Reconstructive Pelvic Surgery (Urology) Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1407104466
—
NC
05
—
5921896
—
NC
Enumeration date
08/24/2012
Last updated
01/10/2017
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