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CAROLINA ENDOCRINE P.A. NPI 1093770240


NPI Information

NPI: 1093770240
Provider Name: CAROLINA ENDOCRINE, P.A.
Classification: Clinic/Center - 261Q00000X
Entity Type: Organization

CLIA Number: 34D1043454

Address:
3840 ED DR
SUITE 111
RALEIGH, NC
ZIP 27612
Phone: (919) 571-3661
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CAROLINA ENDOCRINE, P.A. is a clinic center in Raleigh, NC. The provider is a facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). CAROLINA ENDOCRINE, P.A. NPI is 1093770240. The provider is registered as an organization entity type.

The provider's business location address is:

3840 ED DR
SUITE 111
RALEIGH, NC
ZIP 27612-005
Phone: (919) 571-3661
Fax: (919) 571-3290

The provider's authorized official is Michael John Thomas .
The authorized official title is President and has the following contact phone number (919) 571-3661.

The CLIA number assigned to this NPI record is 34D1043454 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 4/19/2006 and was last updated on 3/8/2017.


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:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261Q00000XClinic/Center98100717NORTH CAROLINAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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