National Provider Identifier Database

CAROLINAS HEALTHCARE ASSOCIATES INC
Urology

A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.


Contact Information

CAROLINAS HEALTHCARE ASSOCIATES, INC.
221 MEMORIAL DR
JACKSONVILLE, NC28546-6333
Phone: 910-353-9994
Fax: 910-353-5784
Website:
Specialty Taxonomy Code
* Urology 208800000X
Urogynecology and Reconstructive Pelvic Surgery 2088F0040X

* Indicates primary specialty

NPI Profile & details for CAROLINAS HEALTHCARE ASSOCIATES, INC.

NPI Number 1407104466
Legal business name
LBN
CAROLINAS HEALTHCARE ASSOCIATES, INC.
Authorized official DAN GOODWIN - (VP)
Entity Organization
Organization subpart No
Enumeration date 08/24/2012
Last updated 01/10/2017 - About 9 years ago
Sole proprietor1 Not specified
Identifiers
  • NC Medicaid: 1407104466
  • NC Medicaid: 5921896

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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