| NPI | 1780965004 |
|---|---|
| Former Legal Business Name | ASSOCIATED UROLOGISTS OF NORTH CAROLINA, PA |
| Entity Type | Organization |
| Authorized Contact | KISSIAH DENISE BURVIG Credentialing Mgr 919-863-9441 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 208800000X Urology |
| Enumeration Date | 2011-08-31 |
| Last Update Date | 2022-01-04 |