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Organization

SURGICAL SPECIALISTS OF CHARLOTTE, P.A.

Active
Other names
DILWORTH SURGICAL SPECIALISTS, P.A.
Organization subpart
No

Provider details

NPI number
Authorized official
DR. LESLIE T. WEBSTER III M.D. (PRESIDENT)
(704) 364-8100
Entity
Organization

Contact information

Practice address
7300 CARMEL EXECUTIVE PARK DR STE 200, CHARLOTTE, NC 28226-1336
(704) 364-8100
(704) 365-2073
Mailing address
PO BOX 33369, CHARLOTTE, NC 28233-3369
(704) 333-0741
(704) 365-2073

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
8901293
NC
Enumeration date
11/04/2005
Last updated
02/08/2022
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