Organization
CAROLINA BAYS ANESTHESIA, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL G KIDD MD (PRESIDENT)
(910) 527-5630
Entity
Organization
Contact information
Practice address
4901 DAWN DR, SUITE 1100, LUMBERTON, NC 28360-8207
(910) 887-2361
Mailing address
PO BOX 2370, LUMBERTON, NC 28359-2370
(910) 527-5630
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
33076
NC
Other
Enumeration date
10/15/2014
Last updated
10/15/2014
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