MEDICARE: UWH OF THE CAROLINAS, PLLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207V00000X	Obstetrics & Gynecology Physician	200300809	NC

General Provider Information

NPI Number	:	1639506470
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	UWH OF THE CAROLINAS, PLLC

Provider Business Mailing Address
First Line	:	P O BOX 12860
Second Line	:
City	:	BELFAST
State	:	ME
Zip	:	04915-4019
Country	:	US
Telephone Number	:	919-334-0150
Fax Number	:	919-334-0152

Provider Business Practice Location Address
First Line	:	200 PERIMETER PARK DR STE B
Second Line	:
City	:	MORRISVILLE
State	:	NC
Zip	:	27560-9714
Country	:	US
Telephone Number	:	919-334-0150
Fax Number	:	919-334-0152

Authorized Official
Title or Position	:	CEO
Name	:	DR. JOHN D. BRIGGS
Credential	:	MD
Telephone Number	:	561-300-2410

Provider Enumeration Date	:	10/10/2013
Last Update Date	:	04/07/2023

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