A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
General Practice |
208D00000X | 99 | Physician/Undefined Physician type[6] | |
Surgery |
208600000X | 02 | Physician/General Surgery | |
Thoracic Surgery (Cardiothoracic Vascular Surgery) |
208G00000X | 02 | Physician/General Surgery |
| NPI # | 1679530968 |
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| LBN Legal business name | CAROLINAS MEDICAL ALLIANCE INC | ||||
| Authorized official | DEBBIE BREWER - (DIRECTOR OF PROVIDER ENROLLMENT) | ||||
| Entity | Organization | ||||
| Organization subpart 1 | No | ||||
| Enumeration date | 04/28/2006 | ||||
| Last updated | 10/28/2011 - About 15 years ago | ||||
| Identifiers |
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CAROLINAS MEDICAL ALLIANCE INC
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