Carolina Urology Pa

LBN: Carolina Urology Pa
Carolina Urology Pa is an health care organization with primary practice located at 2604 N Elm St , Lumberton NC 28358-3011. The organization recently has only one registered license in Other Service Providers / Specialist, which is considered as the primary health care specialty. Carolina Urology Pa can be contacted via phone (910) 739-6364, or through Moses, Timothy Alan via phone (910) 739-6364.

Contact Information

Primary practice address
2604 N Elm St Lumberton NC 28358-3011
Phone: (910) 739-6364
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Moses, Timothy Alan Doctor of Medicine (MD)
Phone: (910) 739-6364

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X

Profile Details

NPI number 1407166812
LBN Legal business name Carolina Urology Pa
DBA Doing business as
Authorized official Moses, Timothy Alan Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Oct 19th, 2010
Last updated Jun 8th, 2011 - about 14 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 1407166812 NPPES
North Carolina MEDICAID 790110W
North Carolina Other 0110W

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