Organization
ENDOSCOPY CENTER - UNIVERSITY, LLC
Active
Other names
Carolina Endoscopy Center- University
Organization subpart
No
Provider details
NPI number
Authorized official
JULIE ROTHROCK (CREDENTIALING COORDINATOR)
(704) 372-7974
Entity
Organization
Contact information
Practice address
101 E WT HARRIS BLVD, SUITE 3215, CHARLOTTE, NC 28262-3485
(704) 927-4280
(704) 927-4286
Mailing address
300 BILLINGSLEY RD, SUITE 200, CHARLOTTE, NC 28211-1075
(704) 372-7974
(704) 372-5166
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2381097B
MEDICARE, OTHER
NC
Enumeration date
11/14/2006
Last updated
02/07/2023
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