Carolina Urology Center, Pa

LBN: Carolina Urology Center, Pa
Carolina Urology Center, Pa is an health care organization with primary practice located at 10620 Park Rd Suite 218, Charlotte NC 28210-8472. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as the primary health care specialty. Carolina Urology Center, Pa can be contacted via phone (704) 543-7186, or through Black, Tracy via phone (803) 327-1116.

Contact Information

Primary practice address
10620 Park Rd Suite 218 Charlotte NC 28210-8472
Phone: (704) 543-7186
Fax: (704) 543-7094
Website:
Map and Directions
Authorized official contact:
Name: Black, Tracy
Phone: (803) 327-1116

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Urology 208800000X

Profile Details

NPI number 1114942927
LBN Legal business name Carolina Urology Center, Pa
DBA Doing business as
Authorized official Black, Tracy
Entity Organization
Organization subpart 1 No
Enumeration date Jul 13th, 2006
Last updated Oct 9th, 2007 - about 17 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 1114942927 NPPES
North Carolina Other 02555 BC/BS
North Carolina Other 0127V BC/BS
North Carolina MEDICAID 890127V BC/BS

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