Organization
THE PRESBYTERIAN HOSPITAL
Active
Parent organization
THE PRESBYTERIAN HOSPITAL
Other names
Professional Services of Presbyterian Orthopedic
Organization subpart
Yes
Provider details
NPI number
Legal business name
THE PRESBYTERIAN HOSPITAL
Authorized official
MR. FREDERICK MCDOWELL HARGETT JR. (EVP/CFO)
(704) 384-5184
Entity
Organization
Contact information
Practice address
1901 RANDOLPH RD., CHARLOTTE, NC 28207
(704) 316-2000
Mailing address
2085 FRONTIS PLAZA BLVD, 2ND FLOOR BD&S, WINSTON SALEM, NC 27103-5614
(336) 277-1149
(336) 277-7675
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
07626
BCBS
—
01
—
562090263
TRICARE
—
Enumeration date
12/18/2006
Last updated
11/10/2014
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