Organization
CAROLINA ANESTHESIOLOGY, PA
Active
Organization
CAROLINA ANESTHESIOLOGY, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KERRI S LEONARD (OFFICE MANAGER)
(336) 882-2567
Entity
Organization
Contact information
Practice address
401 FERNDALE BLVD, HIGH POINT, NC 27262-4739
(336) 882-2567
(336) 882-5466
Mailing address
401 FERNDALE BLVD, HIGH POINT, NC 27262-4739
(336) 882-2567
(336) 882-5466
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
40545
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01410
BCBS
—
05
—
8000152
—
NC
05
—
8901410
—
NC
01
—
CA0196
RAIL ROAD MEDICARE
NC
Enumeration date
04/12/2006
Last updated
07/23/2021
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