NPI 1003125147

Carolinas Medical Center

Organisation Urology Physician Charlotte, NC

Practice location

Address: 1023 Edgehill Rd S, Charlotte, NC 28207-1829
Phone: (704) 355-8686
Fax: (704) 355-8687
Mailing address: PO Box 601372, Charlotte, NC 28260-1372

Authorised official

Name: Dennie Underwood
Title: Vice President
Phone: (704) 355-3147

Registered specialties

Urology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208800000X

Other Urology providers in North Carolina →

Registry record

NPI: 1003125147
Entity type: Organization
NPI issued: 6 Oct 2010
Record last updated: 6 Oct 2010

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.