UNIVERSITY WOMENS CENTER PA NPI 1184728453

NPI Information

UNIVERSITY WOMENS CENTER PA is a gynecology obstetrics gynecology in Charlotte, NC. UNIVERSITY WOMENS CENTER PA NPI is 1184728453. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

8220 UNIVERSITY EXEC PARK DR
STE 107
CHARLOTTE, NC
ZIP 28262-380
Phone: (704) 548-1221
Fax: (704) 548-1311

The provider's authorized official is Alexander Steven Petok .
The authorized official title is Administrator and has the following contact phone number (704) 548-1221.

The CLIA number assigned to this NPI record is 34D0950142 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 9/8/2006 and was last updated on 4/20/2008.

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:

Other Identifiers

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