Organization
CAROLINA HEALTHCARE ASSOCIATES, INC.
Active
Parent organization
CAROLINA HEALTHCARE ASSOCIATES, INC.
Other names
CHA Oral Maxillofacial Surgery
Organization subpart
Yes
Provider details
NPI number
Legal business name
CAROLINA HEALTHCARE ASSOCIATES, INC.
Authorized official
MR. DANIEL L. WIENS (SR. VP)
(704) 355-0648
Entity
Organization
Contact information
Practice address
2131 S 17TH ST, WILMINGTON, NC 28401-7407
(910) 342-3001
Mailing address
PO BOX 602205, CHARLOTTE, NC 28260-2205
(910) 342-3001
Taxonomy
Speciality
Code
Description
License number
State
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
Primary
—
NC
Other
Enumeration date
02/17/2009
Last updated
03/04/2009
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