| Carolina Geriatrics, Pa | |
|
5919 Oleander Dr Ste 109 Wilmington NC 28403-4757 | |
| (910) 799-5508 | |
| (910) 202-0654 |
| Full Name | Carolina Geriatrics, Pa |
|---|---|
| Speciality | Internal Medicine |
| Location | 5919 Oleander Dr Ste 109, Wilmington, North Carolina |
| Authorized Official Name and Position | Kavita S Persaud (PRESIDENT) |
| Authorized Official Contact | 9107995508 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Carolina Geriatrics, Pa 6300 Shinncreek Ln Wilmington NC 28409-2152 Ph: (910) 799-5508 | Carolina Geriatrics, Pa 5919 Oleander Dr Ste 109 Wilmington NC 28403-4757 Ph: (910) 799-5508 |
| NPI Number | 1568484442 |
|---|---|
| Provider Enumeration Date | 07/23/2006 |
| Last Update Date | 02/22/2008 |
| Medicare PECOS PAC ID | 6800801200 |
|---|---|
| Medicare Enrollment ID | O20060207000054 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568484442 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0300X | Internal Medicine - Geriatric Medicine | (North Carolina) | Primary |
| Provider Name | Terrance C Ashby |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063440402 PECOS PAC ID: 8426003468 Enrollment ID: I20050314000228 |
| Provider Name | Kavita Persaud |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1023042215 PECOS PAC ID: 7416962816 Enrollment ID: I20060210000140 |
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