Organization
CHARLOTTE COLON & RECTAL SURGERY ASSOCIATES PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WILLIAM ALFRED WALKER M.D. (PRESIDENT)
(704) 333-1259
Entity
Organization
Contact information
Practice address
2015 RANDOLPH RD, SUITE 201, CHARLOTTE, NC 28207-1200
(704) 333-1259
(704) 333-0371
Mailing address
2015 RANDOLPH RD, SUITE 201, CHARLOTTE, NC 28207-1200
(704) 333-1259
(704) 333-0371
Taxonomy
Speciality
Code
Description
License number
State
208C00000X
Colon & Rectal Surgery Physician
Primary
40475
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8901403
—
NC
Enumeration date
04/21/2006
Last updated
06/29/2010
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