Organization
CAROLINA HEALTHCARE ASSOCIATES, INC.
Active
Parent organization
CAROLINAS HEALTHCARE ASSOCIATES, INC.
Other names
Robert T. Bennett, MD
Organization subpart
Yes
Provider details
NPI number
Legal business name
CAROLINAS HEALTHCARE ASSOCIATES, INC.
Authorized official
MR. DANIEL EUGENE GOODWIN (VICE PRESIDENT)
(910) 667-7597
Entity
Organization
Contact information
Practice address
1333 S DICKINSON DRIVE, SUITE 230, LELAND, NC 28451-6434
(910) 763-6257
(910) 343-0171
Mailing address
PO BOX 602484, CHARLOTTE, NC 28260-2484
(910) 763-6257
(910) 343-0171
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1639492176
—
NC
05
—
5914427
—
NC
Enumeration date
03/11/2010
Last updated
01/10/2017
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