Organization
CAROLINA GERIATRICS, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KAVITA S PERSAUD M.D. (PRESIDENT)
(910) 799-5508
Entity
Organization
Contact information
Practice address
5919 OLEANDER DR STE 109, WILMINGTON, NC 28403-4757
(910) 799-5508
(910) 202-0654
Mailing address
6300 SHINNCREEK LN, WILMINGTON, NC 28409-2152
(910) 799-5508
(910) 202-0654
Taxonomy
Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
—
NC
Other
Enumeration date
07/23/2006
Last updated
02/22/2008
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