Organization
CAREATC-WHITEHALL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KEITH GUCWA (DIR OF PURCHASING AND FACILITIES)
(918) 779-7416
Entity
Organization
Contact information
Practice address
3615 WHITEHALL PARK DR, SUITE G, CHARLOTTE, NC 28273-4138
(800) 993-8244
Mailing address
3615 WHITEHALL PARK DR, SUITE G, CHARLOTTE, NC 28273-4138
(800) 993-8244
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
10/30/2016
Last updated
10/30/2016
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