Organization
CAROLINA UROLOGY CLINIC PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RONALD PETER GLINSKI MD, PHD (OWNER)
(910) 642-5832
Entity
Organization
Contact information
Practice address
720 JEFFERSON ST, WHITEVILLE, NC 28472-3706
(910) 642-5832
(910) 642-8814
Mailing address
720 JEFFERSON ST, WHITEVILLE, NC 28472-3706
(910) 642-5832
(910) 642-8814
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01601
BLUE CROSS
NC
05
—
8901601
—
NC
01
—
CG7448
RAIL ROAD MEDICARE
NC
05
—
NPA160
—
SC
Enumeration date
07/30/2006
Last updated
05/14/2008
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