CAROLINA LITHOTRIPSY LDT NPI 1679581003

NPI Information

CAROLINA LITHOTRIPSY LDT is an urology in Fayetteville, 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 LITHOTRIPSY LDT NPI is 1679581003. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2014 LITHO PLACE
FAYETTEVILLE, NC
ZIP 28304
Phone: (866) 699-5781
Fax: (910) 223-9347

The provider's authorized official is William R Jordan .
The authorized official title is President and has the following contact phone number (910) 222-8096.

The enumeration date for this NPI number is 8/3/2006 and was last updated on 8/22/2020.

Taxonomy Codes

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