| NPI | 1932476298 |
|---|---|
| Doing Business As | CAROLINA UROLOGY CARE-STATESVILLE |
| Entity Type | Organization |
| Authorized Contact | JENNIFER L JACKSON Sr Dir Prov Enrollment & Onboarding 615-465-3334 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 208800000X Urology |
| Enumeration Date | 2011-11-30 |
| Last Update Date | 2022-01-14 |