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NPI Code Detail

MEDICARE: CAROLINA PSYCHIATRY AND ADDICTION SERVICES PLLC

MEDICARE: CAROLINA PSYCHIATRY AND ADDICTION SERVICES 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
1363A00000XPhysician Assistant

General Provider Information

NPI Number : 1326753799
Entity Type Code : Organization
Provider Name (Legal Business Name) : CAROLINA PSYCHIATRY AND ADDICTION SERVICES PLLC
Provider Business Mailing Address
First Line : 2131 WOODRUFF ROAD STE 2100 #330
Second Line :
City : GREENVILLE
State : SC
Zip : 29607
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 7349 STATESVILLE RD
Second Line :
City : CHARLOTTE
State : NC
Zip : 28269-3702
Country : US
Telephone Number : 661-313-9274
Fax Number :
Authorized Official
Title or Position : OWNER
Name : SAHIL TALWAR
Credential : PA-C
Telephone Number : 661-313-9274
Provider Enumeration Date : 01/19/2023
Last Update Date : 01/19/2023

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Directions to “CAROLINA PSYCHIATRY AND ADDICTION SERVICES PLLC ” Practice Location

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