OrganizationActive
Carolina Surgical Clinic of Charlotte, PA
NPI 1245338557 · Surgical Oncology Physician · Charlotte, NC
Provider details
- NPI number
- 1245338557
- Entity type
- Organization
- Primary specialty
- Surgical Oncology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Jacque Greenway, Clinic Manager(704) 377-3900
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Surgery Physician208600000X
Allopathic & Osteopathic Physicians
Practice location
2104 Randolph Rd
Charlotte, NC 28207-1522
Phone: (704) 377-3900
Fax: (704) 377-1244
Approximate (ZIP-level) locationGet directions
Mailing address
2104 Randolph Rd
Charlotte, NC 28207-1522
Registry dates
- Enumerated
- 2006-09-20
- Last updated
- 2025-09-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.