Organization
BROOKDALE OBSTETRIC & GYNECOLOGIC ASSOCIATES, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEPHEN COARSEY MD (CHAIRMAN)
(704) 872-7294
Entity
Organization
Contact information
Practice address
564 BROOKDALE DR, STATESVILLE, NC 28677-4108
(704) 872-7294
Mailing address
564 BROOKDALE DR, STATESVILLE, NC 28677-4108
(704) 872-7294
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
28478
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8923192
—
NC
Enumeration date
09/20/2006
Last updated
11/03/2008
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