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:
Map and Directions
Authorized official contact:
Name: Antezana, James Nelson Doctor of Medicine (MD)
Phone: (803) 412-5126

Health care specialties

SpecialtyCodeLicense #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 2 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 1144524190 NPPES
North Carolina MEDICAID 59-13992

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