34D2108375 CLIA NUMBER - NORTH CAROLINA SURGERY

Laboratory Demographics

CLIA Number: 34D2108375

Facility Name: NORTH CAROLINA SURGERY

Facility Address:
11200 GOVENOR MANLY WAY, SUITE 208
RALEIGH, NC
ZIP 27614
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Facility Phone Number: 919 784-2847

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1003432121

Taxonomy: 2084P0800X - Psychiatry & Neurology
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.

CLIA Record

Field Name	Field Value
CLIA Number	34D2108375
LAB Type	Physician Office
Facility Name	NORTH CAROLINA SURGERY
Street	11200 GOVENOR MANLY WAY, SUITE 208
City	RALEIGH
State	NC
ZIP	27614
Phone	919 784-2847
CertificateType	4
CertificateEffectiveDate	2/3/2024
CertificateExpirationDate	2/2/2026
FacilityType	Waiver

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This page was last updated on: 4/23/2024