Organization
PRESBYTERIAN WOMEN'S CARE CORP.
Active
Other names
Mintview ObGyn
Organization subpart
No
Provider details
NPI number
Authorized official
GEOFFREY K. GARDNER (VP OF FINANCE)
(704) 384-9094
Entity
Organization
Contact information
Practice address
1918 RANDOLPH RD, SUITE 300, CHARLOTTE, NC 28207-1112
(704) 377-5675
(704) 335-8163
Mailing address
PO BOX 602362, CHARLOTTE, NC 28260-2362
(704) 377-5675
(704) 335-8163
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
—
—
207VG0400X
Gynecology Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
011VO
BCBS NC
NC
05
—
89011VO
—
NC
Enumeration date
03/01/2007
Last updated
07/03/2013
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