Organization Name: | CAROLINA FAMILY CARE, P.A. |
NPI Number: | 1295806305 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | DEEPAK RAMCHANDRA GELOT (PRESIDENT) |
Mailing Address: | 707 W King St Kings Mountain |
State: | NC US |
Postal Code: | 280862707 |
Phone Number: | 7047340001 |
Fax Number: | |
NPI Enumeration Date: | 11/11/2006 |
NPI Last Update Date: | 11/20/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QP2300X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NC |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Primary Care |
Taxonomy Definition: |