CHILDREN'S UROLOGY OF THE CAROLINAS NPI 1992720932

NPI Information

CHILDREN'S UROLOGY OF THE CAROLINAS is a specialist in Charlotte, NC. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. CHILDREN'S UROLOGY OF THE CAROLINAS NPI is 1992720932. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

230 BALDWIN AVE
CHARLOTTE, NC
ZIP 28204-110
Phone: (704) 376-5636
Fax: (704) 376-5636

The provider's authorized official is Luis M Perez .
The authorized official title is Owner and has the following contact phone number (704) 376-5636.

The CLIA number assigned to this NPI record is 34D0995897 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 7/12/2006 and was last updated on 1/26/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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