CAROLINA UROLOGY CENTER PA NPI 1114942927

NPI Information

CAROLINA UROLOGY CENTER, PA is an urology in Charlotte, NC. The provider is a urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. CAROLINA UROLOGY CENTER, PA NPI is 1114942927. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

10620 PARK RD
SUITE 218
CHARLOTTE, NC
ZIP 28210-472
Phone: (704) 543-7186
Fax: (704) 543-7094

The provider's authorized official is Tracy Black .
The authorized official title is Practice Manager and has the following contact phone number (803) 327-1116.

The CLIA number assigned to this NPI record is 42D2105774 - physician office with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 7/13/2006 and was last updated on 10/9/2007.

Taxonomy Codes

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Other Identifiers

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