Carolina Neurological Clinic, Pa

LBN: Carolina Neurological Clinic, Pa
Carolina Neurological Clinic, Pa is an health care organization with primary practice located at 3541 Randolph Rd Suite 101, Charlotte NC 28211-1082. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as the primary health care specialty. Carolina Neurological Clinic, Pa can be contacted via phone (704) 377-9323, or through Averitt, Shepard via phone (704) 377-9323.

Contact Information

Primary practice address
3541 Randolph Rd Suite 101 Charlotte NC 28211-1082
Phone: (704) 377-9323
Fax: (704) 331-4030
Website:
Map and Directions
Authorized official contact:
Name: Averitt, Shepard
Phone: (704) 377-9323

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurology 2084N0400X

Profile Details

NPI number 1902861396
LBN Legal business name Carolina Neurological Clinic, Pa
DBA Doing business as
Authorized official Averitt, Shepard
Entity Organization
Organization subpart 1 No
Enumeration date Apr 19th, 2006
Last updated Aug 22nd, 2020 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1902861396 NPPES
North Carolina MEDICAID 8901287

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