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Organization

CAROLINA HEALTHCARE ASSOCIATES, INC.

Active
Parent organization
CAROLINA HEALTHCARE ASSOCIATES, INC.
Other names
Robert T. Bennett, MD
Organization subpart
Yes

Provider details

NPI number
Legal business name
CAROLINA HEALTHCARE ASSOCIATES, INC.
Authorized official
MR. DANIEL EUGENE GOODWIN (VICE PRESIDENT)
(910) 667-7597
Entity
Organization

Contact information

Practice address
2512 DELANEY RD, WILMINGTON, NC 28403-6002
(910) 763-6257
(910) 343-0171
Mailing address
PO BOX 602484, CHARLOTTE, NC 28260-2484
(910) 763-6257
(910) 343-0171

Taxonomy

Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1457684672
NC
05
5913849
NC
Enumeration date
09/08/2009
Last updated
01/10/2017
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