Organization
BREAST CARE SPECIALISTS OF CAROLINA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PRINCESS NICOLE THOMAS MD (PHYSICIAN)
(704) 769-3800
Entity
Organization
Contact information
Practice address
150 FAIRVIEW RD STE 110, MOORESVILLE, NC 28117-9506
(704) 769-3800
Mailing address
150 FAIRVIEW RD STE 110, MOORESVILLE, NC 28117-9506
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
—
Other
Enumeration date
08/08/2019
Last updated
10/23/2019
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