Organization
GENESISCARE USA OF NORTH CAROLINA, PA
Active
Other names
Genesiscare Surgical Specialists
Organization subpart
No
Provider details
NPI number
Authorized official
TIMOTHY D. SHAFMAN MD (PRESIDENT)
(401) 456-2690
Entity
Organization
Contact information
Practice address
20 MEDICAL PARK DR, ASHEVILLE, NC 28803-2493
(239) 931-7342
(239) 931-7385
Mailing address
1419 SE 8TH TER STE 200, CAPE CORAL, FL 33990-3213
(239) 931-7342
(239) 931-7385
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
—
—
2086X0206X
Surgical Oncology Physician
—
—
208C00000X
Colon & Rectal Surgery Physician
Primary
—
—
Other
Enumeration date
01/27/2021
Last updated
09/25/2023
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