Organization
PRESBYTERIAN BREAST CENTER, LLC
Active
Other names
Presbyterian Breast Center University
Organization subpart
No
Provider details
NPI number
Authorized official
FRED M HARGETT (EVP CFO)
(704) 384-5184
Entity
Organization
Contact information
Practice address
8401 MEDICAL PLAZA DR, CHARLOTTE, NC 28262-8797
(704) 384-7140
Mailing address
2085 FRONTIS PLAZA BLVD, WINSTON-SALEM, NC 27103-5614
(336) 277-7226
(336) 277-9795
Taxonomy
Speciality
Code
Description
License number
State
261QR0206X
Mammography Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
16-02145
UHC
—
05
—
89016K8
—
NC
Enumeration date
05/15/2006
Last updated
11/11/2010
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