Organization
CAPITAL HEART ASSOC, P A
Active
Other names
Capital Heart Associates, PA
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAMES GEORGE SCANLAN M.D. (PRESIDENT/CEO)
(919) 881-0160
Entity
Organization
Contact information
Practice address
4201 LAKE BOONE TRL, SUITE 104, RALEIGH, NC 27607-7512
(919) 881-0160
(919) 881-0887
Mailing address
PO BOX 33155, RALEIGH, NC 27636-3155
(919) 881-0160
(919) 881-0887
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0190E
BLUE CROSS/BLUE SHIELD
NC
01
—
1437112661
NPI
—
01
—
5727215
AETNA
—
05
—
890190E
—
NC
01
—
CL6139
RAILROAD MEDICARE
—
Enumeration date
04/10/2006
Last updated
08/28/2014
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