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Contact Information

CAROLINA SPECIALTY CARE,PA
124 SUNSET HILL DR
STATESVILLE, NC28625-2729
 Phone: 704-872-8711
 Fax: 704-872-5866
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Legal Medicine

173000000X
Indicates primary specialty

NPI Profile & details for CAROLINA SPECIALTY CAREPA · (Female)

NPI Number 1063559193
Status Active
Credentials
Entity Individual
Enumeration date 01/30/2007
Last updated 07/16/2009 - About 17 years ago
Sole proprietor 1 Not specified
Identifiers
  • NC License # 930036
  • NC Medicaid 89014TM
  • NC Medicaid 89016CP
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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