Organization
DRS FARRELL FARRELL NALE COOK KAPITAN MOHAMED FRANCO WESSEL HOWELL & K
Active
Parent organization
DRS FARRELL FARRELL NALE COOK KAPITAN MOHAMED FRANCO WESSEL HOWELL & K
Other names
Carolinas Center for Oral & Facial Surgery
Organization subpart
Yes
Provider details
NPI number
Legal business name
DRS FARRELL FARRELL NALE COOK KAPITAN MOHAMED FRANCO WESSEL HOWELL & K
Authorized official
JENNIFER RAYLE HOCK (DIRECTOR OF CONTRACTING & CREDENTIA)
(704) 295-4653
Entity
Organization
Contact information
Practice address
104 MONTGOMERY DR, ANDERSON, SC 29621-3334
(704) 295-4653
Mailing address
5550 77 CENTER DR STE 320, CHARLOTTE, NC 28217-0739
(704) 295-4653
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
—
—
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
Primary
—
—
Other
Enumeration date
02/14/2023
Last updated
02/16/2023
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