Individual
DR. CRAIG DONALD KOLASCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
325 HAWTHORNE LN STE 100, CHARLOTTE, NC 28204-2536
(704) 316-7760
(704) 316-7761
Mailing address
PO BOX 60447, CHARLOTTE, NC 28260-0447
(704) 316-7760
(704) 316-7761
Taxonomy
Speciality
Code
Description
License number
State
207RB0002X
Obesity Medicine (Internal Medicine) Physician
2012-01414
NC
208600000X
Surgery Physician
Primary
2012-01414
NC
208600000X
Surgery Physician
MD428098
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5921090
—
NC
05
—
NC1647
—
SC
Enumeration date
11/27/2006
Last updated
02/21/2024
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