Organization
CAROLINA CARDIOLOGY, SLEEP & OBESITY CENTER PC
Active
Organization
CAROLINA CARDIOLOGY, SLEEP & OBESITY CENTER PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHYAMAL KISHORE MITRA M.D. (OWNER)
(252) 525-3290
Entity
Organization
Contact information
Practice address
3280 HENDERSON DR STE C, JACKSONVILLE, NC 28546-5290
(910) 915-8450
Mailing address
3280 HENDERSON DR STE C, JACKSONVILLE, NC 28546-5290
(910) 915-8450
(888) 745-7026
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
207RB0002X
Obesity Medicine (Internal Medicine) Physician
—
—
207RC0000X
Cardiovascular Disease Physician
00-35439
NC
207RS0012X
Sleep Medicine (Internal Medicine) Physician
00-35439
NC
207UN0901X
Nuclear Cardiology Physician
00-35439
NC
Other
Enumeration date
11/12/2013
Last updated
09/12/2022
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