Organization
UROLOGY ASSOCIATES OF SOUTHEASTERN NORTH CAROLINA, PA
Active
Parent organization
UROLOGY ASSOCIATES OF SOUTHEASTERN NORTH CAROLINA, PA
Organization subpart
Yes
Provider details
NPI number
Legal business name
UROLOGY ASSOCIATES OF SOUTHEASTERN NORTH CAROLINA, PA
Authorized official
MRS. SUSAN A PASQUARELL (PRACTICE MANAGER)
(910) 763-6251
Entity
Organization
Contact information
Practice address
4222 LONG BEACH RD SE STE B, SOUTHPORT, NC 28461-8627
(910) 763-6251
(910) 763-7408
Mailing address
1905 GLEN MEADE RD, WILMINGTON, NC 28403-6024
(910) 763-6251
(910) 763-7408
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
—
—
Other
Enumeration date
08/31/2021
Last updated
08/31/2021
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