Organization
CAROLINA NEUROLOGY PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TRISHWANT S GARCHA MD (OWNER)
(704) 924-7575
Entity
Organization
Contact information
Practice address
750 HARTNESS RD, STE E, STATESVILLE, NC 28677-3400
(704) 924-7575
(704) 924-7877
Mailing address
750 HARTNESS RD, STE E, STATESVILLE, NC 28677-3400
(704) 924-7575
(704) 924-7877
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
200001134
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
127CK
BCBS OF NC
NC
01
—
7392472
AETNA
NC
05
—
89127CK
—
NC
01
—
I672
PARTNERS
NC
Enumeration date
08/21/2006
Last updated
05/28/2013
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