Organization
CAROLINA HEALTHCARE ASSOCIATES, INC.
Active
Parent organization
CAROLINA HEALTHCARE ASSOCIATES INC
Other names
Hanover Cardiology
Organization subpart
Yes
Provider details
NPI number
Legal business name
CAROLINA HEALTHCARE ASSOCIATES INC
Authorized official
MR. DAN E GOODWIN (VP)
(910) 667-7597
Entity
Organization
Contact information
Practice address
1515 DOCTORS CIR, BUILDING C, WILMINGTON, NC 28401-7403
(910) 763-5182
(910) 763-0291
Mailing address
PO BOX 602484, CHARLOTTE, NC 28260-2484
(910) 763-5182
(910) 763-0291
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
—
—
207RC0001X
Clinical Cardiac Electrophysiology Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1417219163
—
NC
05
—
5920806
—
NC
Enumeration date
06/08/2012
Last updated
01/10/2017
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