Organization Name: | MID CAROLINA UROLOGY, PA |
NPI Number: | 1619099421 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | SAMUEL J. STORCH (M.D.) |
Mailing Address: | 46 Memorial Dr Pinehurst |
State: | NC US |
Postal Code: | 283748707 |
Phone Number: | 9102956782 |
Fax Number: | 9102953335 |
NPI Enumeration Date: | 04/04/2007 |
NPI Last Update Date: | 04/22/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | 30099 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NC |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy 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. |