Organization
CAROLINAS PSYCHIATRIC ASSOCIATES CHRISTIAN COUNSELING CLINIC PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PUSHPA CHANDER MD (PHYSICIAN)
(704) 852-9210
Entity
Organization
Contact information
Practice address
1552 UNION RD STE C, GASTONIA, NC 28054-5523
(704) 852-9210
(704) 852-9211
Mailing address
1552 UNION RD STE C, GASTONIA, NC 28054-5523
(704) 852-9210
(704) 852-9211
Taxonomy
Speciality
Code
Description
License number
State
173000000X
Legal Medicine
Primary
200001334296
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0201N
BLUE CROSS BLUE SHIELD
NC
05
—
890201N
—
NC
Enumeration date
05/30/2007
Last updated
01/31/2011
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