Carolina Cancer Specialists, Pa in Clyde - Specialist

Carolina Cancer Specialists, Pa - NPI 1265434039

Carolina Cancer Specialists, Pa is a Specialist in Clyde, North Carolina. Carolina Cancer Specialists, Pa practices all healthcare services and medical treatments related to Specialist. The NPI Number for Carolina Cancer Specialists, Pa is 1265434039. The last update date is 2008-04-20.

Carolina Cancer Specialists, Pa's current location address is 600 Hospital Dr, Clyde, North Carolina. You can contact this provider via phone number 8284540181 and fax number 8284540584. The mailing address for Carolina Cancer Specialists, Pa is 600 Hospital Dr, Clyde, North Carolina. To know further, please read the information below!

Provider Profile Detail

Provider Organization Carolina Cancer Specialists, Pa
Address 600 Hospital Dr, Clyde, North Carolina
Phone Number 8284540181
Fax Number 8284540584
Sole Proprietor --
Credentials --

Authorized Official

Title or Position PRESIDENT
Authorized Official Name Heller Steven Michael
Credentials MD
Telephone Number 8284540181

NPI Number Detail

NPI Number 1265434039
Provider Enumeration Date 2005-08-11
Last Updated Date 2008-04-20

Provider Mailing Address Detail

Address 600 Hospital Dr
City Clyde
State North Carolina (NC)
Post Code 287218046
Phone Number 8284540181
Fax Number 8284540584

Provider's Primary Taxonomy Detail

Speciality Specialist
Taxonomy 174400000X
Licence No 38973
Definition:
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
011TH NC BC/BS NC GROUP NUMBER
3670294 NC UHC
89011TH NC --
CB3766 NC MEDICARE RR

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FAQs about Carolina Cancer Specialists, Pa

What is the unique provider identifier assigned to Carolina Cancer Specialists, Pa?

The Carolina Cancer Specialists, Pa has been issued the NPI (National Provider Identifier) 1265434039 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Where is the Carolina Cancer Specialists, Pa located?

The Carolina Cancer Specialists, Pa is located at 600 Hospital Dr, Clyde, NC 287218046.

What is the Carolina Cancer Specialists, Pa's specialty and taxonomy code?

The Carolina Cancer Specialists, Pa's specialty is Specialist, and the corresponding taxonomy code is 174400000X.

On what date did the Centers for Medicare & Medicaid Services issue the 1265434039 to Carolina Cancer Specialists, Pa?

The Carolina Cancer Specialists, Pa received its 1265434039 assignment from the Centers for Medicare & Medicaid Services on 2005-08-11.

As of what date was the information regarding Carolina Cancer Specialists, Pa, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Carolina Cancer Specialists, Pa, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2008-04-20.

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