Healthcare Provider Details

I. General information

NPI: 1346571262
Provider Name (Legal Business Name): AMERICAN ANESTHESIOLOGY OF THE CAROLINAS, P.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/15/2010
Last Update Date: 01/15/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1602 PHYSICIANS DR SUITE 104
WILMINGTON NC
28401-7363
US

IV. Provider business mailing address

PO BOX 535287
ATLANTA GA
30353-5287
US

V. Phone/Fax

Practice location:
  • Phone: 910-442-1100
  • Fax: 910-442-1199
Mailing address:
  • Phone: 910-442-1100
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License Number
License Number State

VIII. Authorized Official

Name: WILLIAM HAWKS
Title or Position: DIRECTOR/OFFICER
Credential:
Phone: 800-243-3839