Organization · NPI-2

Carolina Colorectal Surgery, PC

Surgery · Raleigh, NC

NPI number1023296647
StatusActive
Last updated in NPPESMay 9, 2008

Details

NPI
1023296647
Entity type
Organization (NPI-2)
Legal business name
Carolina Colorectal Surgery, PC
Organization subpart
No
Enumeration date
Feb 6, 2008
Last updated
May 9, 2008

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
208600000X Surgery200701309NCYes
208C00000X Colon & Rectal Surgery200701309NC

Practice location

2501 Atrium Dr
Suite 305
Raleigh, NC 27607-6452

Phone 919-235-0216 · Fax 919-235-0217

Mailing address

2501 Atrium Dr
Suite 305
Raleigh, NC 27607-6452

Phone 919-235-0216 · Fax 919-235-0217

Authorized official

Sankar Naidu Adusumilli
Chairman
9192350216

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