NPI | 1013291442 |
---|---|
Doing Business As | CAROLINA UROLOGY CARE |
Entity Type | Organization |
Authorized Contact | JENNIFER L JACKSON Sir Dir Prov Enrollment & Onboardin 615-465-3334 |
Organization Subpart ? | Yes |
Primary Taxonomy | 208800000X Urology |
Enumeration Date | 2011-10-04 |
Last Update Date | 2022-01-14 |