South Charlotte General And Vascular Surgery Pllc
LBN: South Charlotte General And Vascular Surgery Pllc
South Charlotte General And Vascular Surgery Pllc is an health care organization with primary practice located at 13430 Hoover Creek Blvd Ste 200 , Charlotte NC 28273-0054. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as the primary health care specialty.
South Charlotte General And Vascular Surgery Pllc can be contacted via phone (704) 910-8380, or through Antezana, James Nelson via phone (803) 412-5126.
Contact Information
Primary practice address
13430 Hoover Creek Blvd Ste 200
Charlotte NC 28273-0054
Phone: (704) 910-8380
Fax: (704) 710-8045
Website:
Authorized official contact:
Name: Antezana, James Nelson Doctor of Medicine (MD)
Phone: (803) 412-5126
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 2009-00158 | North Carolina |
Profile Details
| NPI number | 1144524190 |
|---|---|
| LBN Legal business name | South Charlotte General And Vascular Surgery Pllc |
| DBA Doing business as | |
| Authorized official | Antezana, James Nelson Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jan 5th, 2011 |
| Last updated | May 30th, 2023 - about last year |
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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1144524190 | NPPES |
| North Carolina | MEDICAID | 59-13992 |
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