CAROLINA SURGICAL CLINIC OF CHARLOTTE, PA - NPI 1245338557

Q: What is Carolina Surgical Clinic Of Charlotte, PA's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Surgical Oncology, with taxonomy code 2086X0206X.

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About Carolina Surgical Clinic Of Charlotte, Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CAROLINA SURGICAL CLINIC OF CHARLOTTE, PA (NPI 1245338557) is a healthcare organization registered as a surgical oncology in Charlotte, North Carolina and active in the NPI registry since September 2006. The organization lists Jacque Hovis Greenway, Clinic Manager, as its authorized official.

NPPES Registry Identity

NPI1245338557

Entity TypeOrganization

Primary Taxonomy2086X0206X

Legal Business NameCAROLINA SURGICAL CLINIC OF CHARLOTTE, PA

Location Address2104 RANDOLPH RDCharlotte, NC 28207-1522

Mailing Address2104 Randolph RdCharlotte, NC 28207-1522 · (704) 377-3900 · Fax (704) 377-1244

Phone(704) 377-3900

Fax(704) 377-1244

Organization SubpartNo

Authorized OfficialJacque Hovis GreenwayClinic Manager · (704) 377-3900

Enumeration DateSeptember 20, 2006

Last NPPES UpdateSeptember 11, 20252 updates tracked since enumeration

✔ NPI 1245338557 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySurgery · Surgical OncologyAllopathic & Osteopathic Physicians

Taxonomy Code2086X0206X

Definition

A surgical oncologist is a well-qualified surgeon who has obtained additional training and experience in the multidisciplinary approach to the prevention, diagnosis, treatment, and rehabilitation of cancer patients, and devotes a major portion of his or her professional practice to these activities and cancer research.

Also ListedSurgeryTaxonomy 208600000X

2104 RANDOLPH RD, Charlotte, NC 28207

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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LAUREN TAYLOR SANDBERG PA-C

Physician Assistant