Organization
CHARLOTTE MEDICAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARY JANE WALTERS CRNA (MANAGER)
(704) 355-8983
Entity
Organization
Contact information
Practice address
1000 BLYTHE BLVD, ANESTHESIA SERVICES, 5TH FLOOR SURGICAL TOWER, CHARLOTTE, NC 28203-5812
(704) 355-8983
(704) 355-7938
Mailing address
PO BOX 32861, ANESTHESIA SERVICES, 5TH FLOOR SURGICAL TOWER, CHARLOTTE, NC 28232-2861
(704) 355-8983
(704) 355-7938
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
91390
NC
Other
Enumeration date
02/12/2010
Last updated
02/12/2010
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