Organization
NORTH CAROLINA VASCULAR SPECIALISTS, PA
Active
Organization
NORTH CAROLINA VASCULAR SPECIALISTS, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES E FOGARTIE JR. MD (PRESIDENT)
(919) 605-6092
Entity
Organization
Contact information
Practice address
3713 BENSON DR STE 202, RALEIGH, NC 27609-7372
(919) 532-2144
(919) 532-2143
Mailing address
1317 KING CROSS CT, RALEIGH, NC 27614-9026
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
9700951
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
891065X
—
NC
Enumeration date
01/10/2018
Last updated
01/10/2018
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